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一名年轻男性患者的游走性口炎病例:治疗与鉴别诊断。

A case of migratory stomatitis in a young male patient: Management and differential diagnosis.

作者信息

Bernaola-Paredes Wilber Edison, Filho Valdener Bella, Vilela Dias Eleazar Mezaiko, Sugaya Norberto Nobuo

机构信息

Department of Radiation Oncology, A.C. Camargo Cancer Center,Sao Paulo, Brazil.

Department of Stomatology, School of Dentistry, Federal University of Goias (UFG), Sao Paulo, Brazil.

出版信息

J Oral Maxillofac Pathol. 2022 Feb;26(Suppl 1):S17-S21. doi: 10.4103/jomfp.jomfp_446_20. Epub 2022 Feb 28.

DOI:10.4103/jomfp.jomfp_446_20
PMID:35450243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9017832/
Abstract

Migratory stomatitis (MS) is an uncommon inflammatory condition with unclarified etiology, which despite its benign nature, may raise concerns for patients and diagnostic difficulties for professionals. This case report aims to describe the clinical features of a patient who presented with MS in conjunction with benign migratory glossitis (BMG), and its diagnostic process and management. The patient, a 25-year-old man, sought diagnosis of an oral condition, with cyclic behavior, which had been causing him great discomfort for a year. The patient presented erythematous patches on his lower lips and right side of the buccal mucosa, surrounded by a slightly elevated halo with a concomitant classical picture of BMG. After analysis of his entire symptomatology, the diagnosis of MS associated with BMG was concluded. The patient received clear explanations and symptomatic treatment. The diagnosis of MS may be challenging, even to oral medicine practitioners, especially if it occurs alone. MS with concurrent manifestation of BMG may make the conditions easier to diagnose, but it does not exclude the need to apply a complete process of differential diagnosis to rule out other similar possibilities.

摘要

游走性口炎(MS)是一种病因不明的罕见炎症性疾病,尽管其性质为良性,但可能会引起患者的担忧,并给专业人员带来诊断困难。本病例报告旨在描述一名同时患有游走性口炎和良性游走性舌炎(BMG)的患者的临床特征、诊断过程及治疗情况。该患者为一名25岁男性,因口腔疾病前来就诊,该疾病呈周期性发作,已使他不适了一年。患者下唇及右侧颊黏膜出现红斑,周围有轻微隆起的晕圈,同时伴有典型的BMG表现。综合分析其全部症状后,得出该患者患有与BMG相关的MS的诊断结论。患者得到了清晰的解释并接受了对症治疗。MS的诊断可能具有挑战性,即使对于口腔医学从业者来说也是如此,尤其是当它单独出现时。伴有BMG同时表现的MS可能使病情更容易诊断,但这并不排除需要应用完整的鉴别诊断过程以排除其他类似可能性的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98df/9017832/f6423fd627ac/JOMFP-26-17-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98df/9017832/af5093bfeb7b/JOMFP-26-17-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98df/9017832/5627f6ad9aba/JOMFP-26-17-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98df/9017832/f6423fd627ac/JOMFP-26-17-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98df/9017832/af5093bfeb7b/JOMFP-26-17-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98df/9017832/5627f6ad9aba/JOMFP-26-17-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98df/9017832/f6423fd627ac/JOMFP-26-17-g003.jpg

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Geographic stomatitis with palate involvement.累及腭部的地图状口炎。
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J Clin Exp Dent. 2019 Sep 1;11(9):e845-e849. doi: 10.4317/jced.55758. eCollection 2019 Sep.
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