口腔扁平苔藓患者灼口综合征的临床表现。
Clinical presentation of burning mouth syndrome in patients with oral lichenoid disease.
机构信息
Oral Medicine and Oral and Maxillofacial Pathology Units Orofacial Pain and Temporomandibular Disorders Unit Dental Clinic Service, Department of Stomatology II School of Medicine and Nursing University of the Basque Country (UPV/EHU) 48940 Leioa, Bizkaia, Spain
出版信息
Med Oral Patol Oral Cir Bucal. 2020 Nov 1;25(6):e805-e809. doi: 10.4317/medoral.23812.
BACKGROUND
To analyze the presence of burning mouth syndrome (BMS) in a group of patients diagnosed with oral lichenoid disease (OLD).
MATERIAL AND METHODS
A retrospective study of 217 patients diagnosed with OLD; 158 (72,8%) women and 59 (27,2%) men, with an average age upon diagnosis of 56,4 years (SD 11,88). We carried out a detailed and complete characterization of symptoms, with special emphasis on BMS diagnostic data specified by the International Headache Society.
RESULTS
Four patients (1.8%) presented with long-term clinical symptoms of burning mouth, indicative of BMS and they fulfilled the IHS 2018 criteria, except for criterion D, i.e."Oral mucosa is of normal appearance". The observed lichenoid mucosal lesions were not considered to be able to account for the reported intraoral pain in any of our patients. Thus neither diagnosis was considered to be exclusive.
CONCLUSIONS
Patients diagnosed with OLD, and who simultaneously present clinical characteristics of BMS should be studied in detail, in order to evaluate the possibility of both diagnoses concurring.
背景
分析一组诊断为口腔扁平苔藓（OLD）患者中是否存在灼口综合征（BMS）。
材料和方法
对 217 例 OLD 患者进行回顾性研究；158 例（72.8%）为女性，59 例（27.2%）为男性，诊断时的平均年龄为 56.4 岁（标准差 11.88）。我们对症状进行了详细和全面的描述，特别强调了国际头痛协会规定的 BMS 诊断数据。
结果
4 例（1.8%）患者出现长期口腔灼痛的临床症状，提示为 BMS，且符合 2018 年 IHS 标准，除标准 D 外，即“口腔黏膜外观正常”。观察到的扁平苔藓黏膜病变被认为不能解释我们任何患者报告的口腔内疼痛。因此，两种诊断都不被认为是排他性的。
结论
同时存在 BMS 临床特征的 OLD 患者应进行详细研究，以评估两种诊断同时存在的可能性。
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