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妊娠期牙龈原发性口面部肉芽肿病1例罕见病例。

A rare case of primary orofacial granulomatosis of gingiva during pregnancy.

作者信息

Joshipura Vaibhavi, Mahantesha S, Subbaiah Shobha Krishna, Lakkasetty Yogesh T

机构信息

Department of Periodontics, Sri Rajiv Gandhi Dental College and Hospital, Bengaluru, Karnataka, India.

Department of Periodontics, Faculty of Dental Science, M. S. Ramaiah University of Applied Sciences, Bengaluru, Karnataka, India.

出版信息

J Oral Maxillofac Pathol. 2015 Sep-Dec;19(3):408. doi: 10.4103/0973-029X.174633.

DOI:10.4103/0973-029X.174633
PMID:26980981
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4774306/
Abstract

Orofacial granulomatosis (OFG) comprises a group of diseases characterized by noncaseating granulomatous inflammation affecting the soft tissues of the oral and maxillofacial region. It is important to establish the diagnosis accurately because this condition is sometimes a manifestation of many systemic conditions like Crohn's disease or sarcoidosis. The clinical outcome of OFG patients continues to be unpredictable. Current therapies remain unsatisfactory. This article reports a rare case of isolated OFG with langhans type giant cells and inflammatory infiltrate without any systemic involvement, in which the condition was a manifestation of pregnancy. The diagnostic approach to and the treatment of OFG are reviewed.

摘要

口面部肉芽肿病(OFG)是一组以非干酪样肉芽肿性炎症累及口腔颌面部软组织为特征的疾病。准确做出诊断很重要,因为这种情况有时是许多全身性疾病如克罗恩病或结节病的一种表现。OFG患者的临床结局仍然不可预测。目前的治疗方法仍不尽人意。本文报告了一例罕见的孤立性OFG病例,伴有朗汉斯型巨细胞和炎症浸润,无任何全身受累情况,该病例是妊娠的一种表现。本文对OFG的诊断方法和治疗进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5e1/4774306/48f584b18a19/JOMFP-19-408b-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5e1/4774306/2c66c0b4d82d/JOMFP-19-408b-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5e1/4774306/957b55051190/JOMFP-19-408b-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5e1/4774306/48f584b18a19/JOMFP-19-408b-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5e1/4774306/2c66c0b4d82d/JOMFP-19-408b-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5e1/4774306/957b55051190/JOMFP-19-408b-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5e1/4774306/48f584b18a19/JOMFP-19-408b-g003.jpg

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引用本文的文献

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Primary orofacial granulomatous involvement of lip and gingiva only: A diagnostic challenge.仅累及唇部和牙龈的原发性口面部肉芽肿病:一项诊断挑战。
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本文引用的文献

1
Orofacial granulomatosis: A case report with review of literature.口面部肉芽肿病:一例病例报告并文献复习
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Orofacial granulomatosis: a clinicopathologic correlation.口面部肉芽肿病:临床病理相关性
Head Neck Pathol. 2011 Jun;5(2):133-6. doi: 10.1007/s12105-011-0249-z. Epub 2011 Feb 16.
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Orofacial granulomatosis--a 20-year review.口面部肉芽肿病——20年回顾
Oral Dis. 2009 Jan;15(1):46-51. doi: 10.1111/j.1601-0825.2008.01500.x.
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Sarcoidosis.结节病
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J Can Dent Assoc. 2006 May;72(4):325-9.
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Oro-facial granulomatosis--a clinical and pathological analysis.口面部肉芽肿病——临床与病理分析
Q J Med. 1985 Jan;54(213):101-13.