University Clinic of Stomatology, Faculty of Medicine, University of Lisbon, 1649-028 Lisbon, Portugal.
Egas Moniz University Institute, 2829-511 Caparica, Portugal.
Medicina (Kaunas). 2020 Apr 19;56(4):188. doi: 10.3390/medicina56040188.
Bulimia is an eating disorder with a great prevalence in young women. Due to its multifactor ethiology, bulimia has systemic consequences. In the literature, necrotising sialometaplasia is seldom associated with bulimia. Its etiopathogenesis is discussed by several authors; nevertheless, the consensus does not consider the relevance of local trauma associated with induced vomiting. A case of necrotising sialomethaplasia, presented with a single hard palatal ulcer in a bulimic woman is described in the present report. The patient did not present significant systemic laboratorial values, nor physical weight variations, which highlights the relevance of performing a complete medical clinical history when diagnosing this rare pathology.
贪食症是一种在年轻女性中患病率很高的进食障碍。由于其多因素的病因,贪食症有全身性的后果。在文献中,坏死性涎腺化生很少与贪食症相关联。几位作者讨论了其病因发病机制;然而,共识并不认为与诱导性呕吐相关的局部创伤有相关性。本报告描述了一例坏死性涎腺化生病例,患者为一名贪食症女性,表现为单一硬腭溃疡。该患者无明显的全身性实验室值或体重变化,这凸显了在诊断这种罕见病理时进行全面的医学临床病史记录的重要性。