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喀拉拉邦一家三级护理医院中新冠确诊患者的口腔表现患病率

Prevalence of Oral Manifestations in COVID-19-Diagnosed Patients at a Tertiary Care Hospital in Kerala.

作者信息

Prakash Kurumba, Bindu R, Sanoj N M

机构信息

Oral & Maxillofacial Surgery, Government Medical College, Kollam, Kerala India.

Oral & Maxillofacial Surgery, Government Dental College, Thiruvananthapuram, Kerala India.

出版信息

J Maxillofac Oral Surg. 2024 Apr;23(2):296-300. doi: 10.1007/s12663-023-02049-5. Epub 2023 Dec 1.


DOI:10.1007/s12663-023-02049-5
PMID:38601253
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11001806/
Abstract

BACKGROUND: COVID-19, a pandemic since 2019, is still causing significant healthcare burden across the world. Although the disease primarily presents with respiratory symptoms, a multitude of signs and symptoms may be manifested elsewhere in the body. AIM: This study was to estimate the prevalence of oral manifestations in COVID-19 diagnosed patients and thereby understand the effects of corona virus disease on oral health. MATERIALS & METHODS: A total of 472 patients were evaluated using a questionnaire and further examined visually using a mouth mirror and a light source.The patients were evaluated for erythema, ulcers, macule, papule, vescicles, bullae or any other abnormal changes within the oral cavity. RESULTS: 103 patients (21%) were found to have oral lesions and 41 (39.8%) of them presented with palatal enanthem which was macular in nature. Candidiasis was noted in 19 (18.4%) patients, ulcer in 4 (3.8%), mucositis in 5 (4.8%), angular cheilitis in 3 (2.9%), white coating on tongue in 25 (24.2%) & depapillated tongue with glossitis in 6 (5.8%). Multivariate analysis was done using logistic regression.Tobacco chewing, malignancies and altered taste sensation were found to be independently associated with oral lesions. CONCLUSION: The study thus confirms the presence of oral lesions in diagnosed COVID-19 patients prompting healthcare professionals on a multidisciplinary approach towards this novel disease.

摘要

背景:自2019年以来的新冠疫情,仍在全球造成巨大的医疗负担。尽管该疾病主要表现为呼吸道症状,但身体其他部位可能会出现多种体征和症状。 目的:本研究旨在评估新冠确诊患者口腔表现的患病率,从而了解冠状病毒病对口腔健康的影响。 材料与方法:共对472名患者进行问卷调查,并使用口镜和光源进行进一步的目视检查。对患者口腔内的红斑、溃疡、斑疹、丘疹、水疱、大疱或任何其他异常变化进行评估。 结果:发现103名患者(21%)有口腔病变,其中41名(39.8%)表现为腭部黏膜疹,呈斑疹性质。19名(18.4%)患者有念珠菌病,4名(3.8%)有溃疡,5名(4.8%)有黏膜炎,3名(2.9%)有口角炎,25名(24.2%)舌面有白苔,6名(5.8%)有舌乳头萎缩伴舌炎。使用逻辑回归进行多变量分析。发现嚼烟、恶性肿瘤和味觉改变与口腔病变独立相关。 结论:该研究证实了新冠确诊患者存在口腔病变,促使医疗保健专业人员对这种新型疾病采取多学科方法。

相似文献

[1]
Prevalence of Oral Manifestations in COVID-19-Diagnosed Patients at a Tertiary Care Hospital in Kerala.

J Maxillofac Oral Surg. 2024-4

[2]
Oral manifestations of COVID-19 disease: A review article.

Dermatol Ther. 2021-1

[3]
Oral manifestations among COVID-19: An observational study of 713 patients.

Dent Res J (Isfahan). 2021-8-18

[4]
Are Oral Mucosal Changes a Sign of COVID-19? A Cross-Sectional Study at a Field Hospital.

Actas Dermosifiliogr. 2021

[5]
An update on oral clinical courses among patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection: A clinical follow-up (a prospective prevalent cohort) study.

PLoS One. 2022

[6]
Oral Manifestations in Patients with COVID-19: A 6-Month Update.

J Dent Res. 2021-11

[7]
Oral signs and symptoms in 160 Greek HIV-infected patients.

J Oral Pathol Med. 1992-3

[8]
Oral manifestations of COVID-19 patients: An online survey of the Egyptian population.

Clin Exp Dent Res. 2021-10

[9]
Oral manifestations of COVID-19 in unvaccinated patients: a cross-sectional study.

BMC Oral Health. 2023-9-27

[10]
COVID-19 hospitalized patients and oral changes: a case-control study.

Clin Oral Investig. 2023-8

引用本文的文献

[1]
Painful ulcerations associated with COVID-19 in an adolescent patient: a case report.

Front Dent Med. 2024-8-2

[2]
The Incidence and Characteristics of Oral Candidiasis in Patients Hospitalized for SARS-CoV-2 Infection During the Circulation of Alpha, Beta, and Delta Variants.

Microorganisms. 2024-10-18

本文引用的文献

[1]
Oral Manifestations of COVID-19: A Cross-Sectional Study of Their Prevalence and Association with Disease Severity.

J Clin Med. 2022-7-30

[2]
Oral manifestations in COVID-19 patients: An observational study.

J Family Med Prim Care. 2022-3

[3]
Prevalence of oral manifestations in COVID-19: A systematic review.

Rev Med Virol. 2022-11

[4]
COVID-19 and its manifestations in the oral cavity: A systematic review.

Medicine (Baltimore). 2021-12-23

[5]
Oral mucosal lesions in patients with COVID-19: a systematic review.

Br J Oral Maxillofac Surg. 2021-11

[6]
Oral lesions associated with COVID-19: A systematic review.

Stomatologija. 2021

[7]
Oral Manifestations of COVID-19: Updated Systematic Review With Meta-Analysis.

Front Med (Lausanne). 2021-8-25

[8]
Oral manifestations of COVID-19 patients: An online survey of the Egyptian population.

Clin Exp Dent Res. 2021-10

[9]
Oral manifestations of COVID-19: Brief review.

Dent Med Probl. 2021

[10]
Clinical manifestations of COVID-19 in the general population: systematic review.

Wien Klin Wochenschr. 2021-4

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