Pereira Manoela Seadi, Munerato Maria Cristina
Faculdade de Odontologia da Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Faculdade de Odontologia da Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil Hospital de Clínicas de Porto Alegre (HCPA), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
Clin Med Res. 2016 Mar;14(1):46-52. doi: 10.3121/cmr.2015.1307. Epub 2016 Feb 10.
Inflammatory bowel diseases (IBD) are known as chronic inflammatory disorders of the digestive tract, represented mainly by Crohn's disease (CD) and ulcerative colitis (UC). Among the main oral manifestations of IBD are cobblestoning of the oral mucosa, labial swellings with vertical fissures, pyostomatitis vegetans, angular cheilitis, perioral erythema, and glossitis. In this sense, understanding these nosological entities by dentists would help reach early and differential diagnosis. Thus, two case reports are presented and discussed based on theoretical references obtained by a literature review. The first case report refers to an adult patient whose IBD diagnosis was established after stomatological assessment. The second case was a patient with CD diagnosed in childhood with characteristic oral lesions.
炎症性肠病(IBD)是已知的消化道慢性炎症性疾病,主要表现为克罗恩病(CD)和溃疡性结肠炎(UC)。IBD的主要口腔表现包括口腔黏膜鹅卵石样改变、伴有垂直裂隙的唇部肿胀、增殖性脓性口炎、口角炎、口周红斑和舌炎。从这个意义上讲,牙医了解这些疾病实体将有助于实现早期和鉴别诊断。因此,本文基于文献综述获得的理论参考文献,展示并讨论了两个病例报告。第一个病例报告涉及一名成年患者,其IBD诊断是在口腔评估后确立的。第二个病例是一名儿童期诊断为CD的患者,伴有特征性口腔病变。