Nagao Yumiko, Kawahigashi Yuji, Kimura Kanae, Sata Michio
Department of Organ System Interactions and Information, Faculty of Medicine, Saga University, Saga, Japan.
Nishinihon Hospital, Kumamoto, Japan.
Case Rep Gastroenterol. 2017 Aug 17;11(2):480-487. doi: 10.1159/000479495. eCollection 2017 May-Aug.
Burning mouth syndrome (BMS) is a burning sensation in the mouth with no underlying dental or medical cause. To date, there is no satisfactory treatment for BMS. Herein, we present the case of a 42-year-old female presenting with hepatitis C virus infection along with BMS. Despite two interferon therapies and a sustained virologic response, the discomfort in her oral mucosa persisted. At the age of 51, the patient complained of burning sensation and tingling pain in the tongue; a thin layer of REFRECARE-H®, an oral care gel (therapeutic dentifrice), was applied on the oral membrane after each meal for 60 days. Application of REFRECARE-H® decreased the various symptoms including tingling pain, oral discomfort, breath odor, sleep disorder, depressive mood, and jitteriness. The improvement in quality of life continued for 30 days after application of the gel. These findings indicate that REFRECARE-H® may be effective in reducing the symptoms associated with BMS. Long-term follow-up studies with larger number of patients are required to elucidate the therapeutic effects of this gel.
灼口综合征(BMS)是一种口腔内的烧灼感,不存在潜在的牙科或医学病因。迄今为止,尚无针对BMS的令人满意的治疗方法。在此,我们报告一例42岁女性,患有丙型肝炎病毒感染并伴有BMS。尽管接受了两种干扰素治疗并实现了病毒学持续应答,但她口腔黏膜的不适感依然存在。51岁时,患者主诉舌头有烧灼感和刺痛感;每餐饭后在口腔黏膜上涂抹一层REFRECARE-H®(一种口腔护理凝胶,即治疗性牙膏),持续60天。涂抹REFRECARE-H®减轻了多种症状,包括刺痛感、口腔不适、口臭、睡眠障碍、抑郁情绪和神经过敏。涂抹凝胶后,生活质量的改善持续了30天。这些发现表明,REFRECARE-H®可能对减轻与BMS相关的症状有效。需要对更多患者进行长期随访研究,以阐明这种凝胶的治疗效果。