Bins A, Ho J P T F, Snijders R S A, van der Tol I G H, Yapici Ü, de Visscher J G A M
Ned Tijdschr Tandheelkd. 2021 Sep;128(9):429-433. doi: 10.5177/ntvt.2021.09.21070.
A 41-year-old woman, who was referred with a reddish purple like lesion on the left side of the tongue, appeared to have an angiokeratoma after histopathological examination. Because of the benign character of this lesion and the absence of any complaints, no adjuvant treatment after excisional biopsy was indicated. Angiokeratomas rarely appear as solitary oral lesions. More often they are seen as part of an underlying systemic disease, mostly Fabry disease. Due to widespread skin involvement of angiokeratomas with Fabry disease, referral to a dermatologist is indicated when oral lesions are encountered. Esthetically unpleasing or painful angiokeratomas can be locally excised or treated by laser- or cryotherapy.
一名41岁女性因左侧舌部出现紫红色病损前来就诊，经组织病理学检查后诊断为血管角化瘤。鉴于该病变的良性性质且无任何不适症状，切除活检后无需辅助治疗。血管角化瘤很少以孤立的口腔病损形式出现。它们更常作为潜在系统性疾病的一部分出现，其中大部分为法布里病。由于法布里病相关的血管角化瘤会广泛累及皮肤，因此遇到口腔病损时应转诊至皮肤科医生处。对于美观不佳或疼痛的血管角化瘤，可进行局部切除或采用激光或冷冻疗法治疗。
