Alesa Alaa, Kattan Wid, Albadri Abdulhadi
College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Division of Psychiatry, Department of Medicine, College of Medicine, King Abdulaziz University, King Abdulaziz University Hospital, Jeddah, Makkah, Saudi Arabia.
SAGE Open Med Case Rep. 2023 Sep 26;11:2050313X231200999. doi: 10.1177/2050313X231200999. eCollection 2023.
Burning mouth syndrome is a chronic condition characterized by oral pain in the absence of intraoral clinical signs. The pathogenesis and etiology of burning mouth syndrome are not fully understood. Both men and women of all ages are at risk of developing this syndrome, but women are at an even higher risk. The management of burning mouth syndrome usually consists of the use of antidepressants. In this case report, we present a case of a 75-year-old lady who presented to the psychiatric clinic for management of her depressive symptoms. She was prescribed escitalopram and her dose was later increased. She then started experiencing a burning sensation in her mouth. She was seen by dental, medical, and psychological specialties regarding her symptoms. After careful historical and clinical evaluation, she was finally diagnosed with antidepressant-induced burning mouth syndrome. Antidepressant-induced burning mouth syndrome is a rare but very important condition to recognize. It has a huge effect on patients' quality of life. The management of patients with antidepressant-induced burning mouth syndrome needs the involvement of a multidisciplinary team. Further high-quality studies are needed to help healthcare professionals better approach such patients.
灼口综合征是一种慢性疾病,其特征为口腔疼痛但口腔内无临床体征。灼口综合征的发病机制和病因尚未完全明确。所有年龄段的男性和女性都有患此综合征的风险,但女性的风险更高。灼口综合征的治疗通常包括使用抗抑郁药。在本病例报告中,我们介绍了一位75岁女性的病例,她因抑郁症状前往精神科诊所就诊。她被开了艾司西酞普兰,随后剂量增加。然后她开始感到口腔有烧灼感。她就自己的症状咨询了牙科、内科和心理科专家。经过仔细的病史和临床评估,她最终被诊断为抗抑郁药诱发的灼口综合征。抗抑郁药诱发的灼口综合征是一种罕见但非常重要的需要识别的病症。它对患者的生活质量有巨大影响。抗抑郁药诱发的灼口综合征患者的治疗需要多学科团队的参与。需要进一步开展高质量研究,以帮助医疗保健专业人员更好地诊治此类患者。