Department of Oral Diagnostic Sciences, Division of Oral Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Division of Oral Medicine, UCL Eastman Dental Institute, University College London, London, UK.
Head Neck Pathol. 2024 Aug 7;18(1):72. doi: 10.1007/s12105-024-01678-7.
Granulomatous diseases include a diverse range of chronic inflammatory disorders with a wide variety of pathologies and clinical characteristics. In particular, the orofacial region can be affected by granulomatous conditions-whether as an isolated disease or as part of a systemic disorder. Regardless of the nature of the disease or its mechanism of development, precise diagnosis can be challenging, as etiopathogenesis may be driven by several causes. These include reactions to foreign bodies, infections, immune dysregulation, proliferative disorders,, medications, illicit drugs, and hereditary disorders. Granulomas can be identified using histopathological assessment but are not pathognomonic of a specific disease, and therefore require correlation between clinical, serological, radiographical, and histopathological findings. The purpose of this review is to provide a summary of the etiopathogenesis, clinical and histopathologic characteristics, and treatment of oral granulomatous disorders.
肉芽肿性疾病包括一系列具有多种病理学和临床特征的慢性炎症性疾病。特别是,口腔颌面部区域可能会受到肉芽肿性疾病的影响——无论是作为一种孤立的疾病还是作为全身性疾病的一部分。无论疾病的性质或其发病机制如何,精确的诊断都可能具有挑战性,因为病因可能由多种原因引起。这些原因包括对异物、感染、免疫失调、增生性疾病、药物、非法药物和遗传性疾病的反应。可以通过组织病理学评估来识别肉芽肿,但它们不是特定疾病的特征性表现,因此需要将临床、血清学、影像学和组织病理学发现进行关联。本综述的目的是总结口腔肉芽肿性疾病的病因发病机制、临床和组织病理学特征以及治疗方法。