Department of Dermatology, University Hospital, FR-29609 Brest, France.
Acta Derm Venereol. 2019 Jul 1;99(9):813-817. doi: 10.2340/00015555-3094.
Primary burning mouth syndrome is a term used for chronic oral mucosal pain with no identifiable organic cause. The aim of the study was to evaluate the usefulness of a psychiatric intervention for treating burning mouth syndrome based on a joint consultation with a psychiatrist and a dermatologist. The study was proposed to all patients who visited this consultation group between 2001 and 2017 for the treatment of primary burning mouth syndrome. The patients answered a questionnaire that was administered via mail. Of the 57 patients diagnosed with primary burning mouth syndrome, 38 were included. Seven patients (18.4%) no longer had pain; 8 (21.1%) estimated that the pain had decreased by greater than 50%; 11 (28.9%) estimated the decrease at between 30 and 50%, and 12 (31.6%) estimated a less than 30% decrease. Only 14 patients (36.8%) remained under treatment with antidepressants, as compared to 63.2% before the psychiatric intervention. This psychiatric intervention could be considered a valuable tool in the global burning mouth syndrome treatment strategy.
原发性灼口综合征是指一种慢性口腔黏膜疼痛,无明确的器质性原因。本研究旨在评估联合精神科医生和皮肤科医生进行精神干预治疗原发性灼口综合征的有效性。该研究向 2001 年至 2017 年间因原发性灼口综合征就诊于该会诊组的所有患者提出。患者通过邮件回答问卷。在诊断为原发性灼口综合征的 57 例患者中,纳入了 38 例。7 例患者(18.4%)疼痛消失;8 例(21.1%)估计疼痛减轻超过 50%;11 例(28.9%)估计减轻 30%至 50%;12 例(31.6%)估计减轻不到 30%。与精神干预前的 63.2%相比,只有 14 例患者(36.8%)仍在接受抗抑郁药物治疗。这种精神干预可以被认为是原发性灼口综合征治疗策略中的一个有价值的工具。