Pinheiro Tiago Novaes, Fayad Flavio, Júnior Luiz Roberto Magalhães, Nichthauser Brigitte, Braga Francisco, Passos Shirley Maria
Adjunct Professor of Oral Pathology and Oral Medicine, Amazonas State University, Manaus-AM, Brazil.
Doctorate student in Oral and Maxillofacial Surgery, Assistant Professor of Oral and Maxillofacial Surgery, Amazonas State University, Manaus-AM, Brazil.
Spec Care Dentist. 2017 Sep;37(5):253-257. doi: 10.1111/scd.12235. Epub 2017 Aug 22.
We report a unique case of a potassium aluminum sulfate oral dissolution leading to palatal chemical necrosis and extensive chemical ulcers on the tongue. The patient, a 47-year-old white, blind male, denied using cocaine or other illegal drugs that could cause such lesions. His self-medication started as a treatment for a traumatic ulcerative lesion on the hard palate. After palatal perforation, he started another self-medication routine, mixing corticoid cream and tandrilax tablets with a gauze obturator. Our treatment comprised the removal of all chemical factors, a surgical debridement, and a prosthetic obturator to resolve the communication. The 1-year follow-up showed no complications.
我们报告了一例独特的硫酸钾铝口服溶解导致腭部化学性坏死及舌部广泛化学性溃疡的病例。患者为一名47岁的白人盲男性，否认使用过可导致此类病变的可卡因或其他非法药物。他自行用药起初是为了治疗硬腭的创伤性溃疡性病变。硬腭穿孔后，他开始了另一自行用药方案，将皮质类固醇乳膏和坦地拉辛片与纱布阻塞器混合使用。我们的治疗包括去除所有化学因素、手术清创以及使用修复性阻塞器以解决贯通问题。1年的随访显示无并发症。
