对佩戴假牙且疑似迟发型超敏反应患者的牙科材料系列进行评估。
Evaluation of dental material series from patients with dental prostheses and suspicion of delayed hypersensitivity.
作者信息
Yoshimura Fernanda Cortinhas, Cunha Victor do Espirito Santo, Hahnstadt Ruppert Ludwig, Pires Mário Cezar
机构信息
Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo, São Paulo, SP, Brazil.
Clínica privada - Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
出版信息
An Bras Dermatol. 2016 Apr;91(2):141-8. doi: 10.1590/abd1806-4841.20164116.
BACKGROUND
Patients with oral sensitivity are common in our practice. Allergic contact dermatitis is one of the most frequent etiologies.
OBJECTIVES
Evaluate oral contact dermatitis using the Brazilian standard series and complementary dental series in patients using dental prostheses, with or without oral complaints. Determine specific dental Brazilian series.
METHODS
Patients using dental prostheses with or without oral complaints realized patch tests. Brazilian standard series and complementary dental series were used according to ICDRG recommendations. The results were analysed according to age, sex, race, atopic conditions and symptoms associated.
RESULTS
From 54 patients tested, 34 (63%) were positive at least to one substance. Nineteen had oral complaints, such as burning mouth, itch or oral erythema. There was no association between atopic condition and tests results. Without the oral series, just 23(42,6%) patients had a positive result. Using the Brazilian standard series with the complementary dental series we improved the positivity of the patch test to 47%.
CONCLUSION
In patients using prostheses and with oral complaints, patch tests with Brazilian standard series with complementary dental series improve the tests positivity.
背景
在我们的临床实践中，口腔敏感患者很常见。过敏性接触性皮炎是最常见的病因之一。
目的
使用巴西标准系列和补充牙科系列对使用假牙的患者（无论有无口腔不适）进行口腔接触性皮炎评估。确定巴西特定牙科系列。
方法
使用假牙的患者（无论有无口腔不适）进行斑贴试验。根据国际接触性皮炎研究组（ICDRG）的建议使用巴西标准系列和补充牙科系列。根据年龄、性别、种族、特应性状况和相关症状对结果进行分析。
结果
在54名接受测试的患者中，34名（63%）至少对一种物质呈阳性反应。19名患者有口腔不适，如口腔烧灼感、瘙痒或口腔红斑。特应性状况与测试结果之间无关联。不使用口腔系列时，只有23名（42.6%）患者呈阳性结果。使用巴西标准系列和补充牙科系列时，我们将斑贴试验的阳性率提高到了47%。
结论
对于使用假牙且有口腔不适的患者，使用巴西标准系列和补充牙科系列进行斑贴试验可提高测试阳性率。
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