Goldemberg Daniel Cohen, de Melo Pino Livia Cristina, de Lima Araujo Luiz Henrique, de Melo Andreia Cristina, Antunes Héliton Spindola
Leblon Medical Center, Rio de Janeiro, Brazil.
Clinical Research Division of the National Cancer Institute (INCA), Rio de Janeiro, Brazil.
SAGE Open Med Case Rep. 2021 Mar 3;9:2050313X21997205. doi: 10.1177/2050313X21997205. eCollection 2021.
Thermal burns of the oral cavity usually arise from ingestion of hot foods or beverages. A 38-year-old female patient presented with two painful ulcerative erythematous patches of the palate. The patient was consulted on the same day lesions appeared. Medical history was unremarkable. Clinically significant self-inflicted injuries may result in wide ulcers in the mouth and usually do not take less than 2 weeks to heal, whereas our patient, treated with low-level laser therapy, had a complete response in day 4, after 2 days of treatment. The fact that multiple lesions were present signaled against the World Health Organization exclusion diagnosis of erythroplakia for red patches. A traumatic ulcer, regardless of its cause of origin, usually heals within 2 weeks, after the source of injury is resolved. A thermal burn in the oral cavity usually takes longer than that to heal, but whenever this time frame is not respected, the suspicion of a potentially malignant disorder should always arise, and a biopsy should be performed. The present case showed two painful thermal burns with great results in terms of speeding up the relieve of symptoms and healing time with soft laser as opposed to the traditional treatment with oral topical corticosteroid.
口腔热烧伤通常由摄入过热的食物或饮料引起。一名38岁女性患者腭部出现两处疼痛性溃疡性红斑。病变出现当天患者前来就诊。病史无异常。具有临床意义的自残伤可能导致口腔内出现广泛溃疡，通常愈合时间不少于2周，而我们的患者接受低强度激光治疗后，治疗2天后在第4天完全康复。存在多个病变这一事实排除了世界卫生组织对红斑性增殖性红斑的排除诊断。创伤性溃疡无论其起源原因如何，在损伤源消除后通常在2周内愈合。口腔热烧伤通常愈合时间更长，但只要不符合这个时间框架，就应始终怀疑可能存在恶性疾病，并应进行活检。本病例显示两处疼痛性热烧伤，与口服局部用皮质类固醇的传统治疗相比，软激光在加速症状缓解和愈合时间方面效果显著。
