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皮肤病累及口腔和颌面部区域。

Involvement of the mouth and jaw area in dermatological diseases.

作者信息

Ramiah Vasudevi, Sankar Shenbaga Lalitha, Shunmugavelu Karthik, Hussain Sajid Tajamul, Sadasivam Manju Palanisamy, Behura Shyam Sundar

机构信息

Department of Dental Surgery, Governement Medical College and Hospital, Krishnagiri, Tamil Nadu, India.

Department of Biochemistry, Tagore Medical College and Hospital, Rathinamangalam, Chennai, Tamil Nadu, India.

出版信息

GMS Hyg Infect Control. 2025 Jun 17;20:Doc31. doi: 10.3205/dgkh000560. eCollection 2025.

Abstract

BACKGROUND

The oral cavity can be affected by a variety of disorders, and many systemic disorders have wide range of manifestations in the oral cavity. Oral mucosal lesions can be early manifestations of the disease or the only symptom of dermatological diseases; therefore no symptom or sign in the oral cavity should be neglected.

MATERIALS AND METHODS

1,131 patients who came to the Oral and Maxillofacial Pathology department for various dermatological treatments were included. The demographic details were obtained from each patient and a thorough dermatological examination was done. On examining the oral cavity, the size and the site of any lesions were noted. The results were entered in SPSS version 21 and descriptive statistics calculated (p<0.05 was considered statistically significant).

RESULTS

Out of 1,131 patients, 237 patients had both with dermatological and oral mucosal lesions. Psoriasis (44.3%) was most frequently accompanied by lesions of the oral mucosa, followed by pemphigus (31.2%) and bullous pemphigoid (10.1%). The most common site of involvement in the oral cavity was the palate (38.3%). Patients in the age group of 25-50 years (76%) were affected more than the other age groups. Male (49.7%) and female (50.3%) patients were equally affected.

CONCLUSION

Diagnosing oral lesions in dermatology practice and mucocutaneous lesions in dental practice can play a pivotal role in patient management. Thus, comprehensive knowledge is necessary to diagnose these cases in dental and dermatology practice.

摘要

背景

口腔可受多种疾病影响,许多全身性疾病在口腔有广泛表现。口腔黏膜病变可能是疾病的早期表现或皮肤病的唯一症状;因此口腔内的任何症状或体征都不应被忽视。

材料与方法

纳入1131名到口腔颌面病理科接受各种皮肤病治疗的患者。从每位患者获取人口统计学细节并进行全面的皮肤病检查。检查口腔时,记录任何病变的大小和部位。结果录入SPSS 21版并计算描述性统计数据(p<0.05被认为具有统计学意义)。

结果

在1131名患者中,237名患者既有皮肤病损又有口腔黏膜病损。银屑病(44.3%)最常伴有口腔黏膜病损,其次是天疱疮(31.2%)和大疱性类天疱疮(10.1%)。口腔最常见的受累部位是腭部(38.3%)。25至50岁年龄组的患者(76%)比其他年龄组受影响更大。男性(49.7%)和女性(50.3%)患者受影响程度相当。

结论

在皮肤科实践中诊断口腔病变以及在牙科实践中诊断黏膜皮肤病变在患者管理中可发挥关键作用。因此,在牙科和皮肤科实践中诊断这些病例需要全面的知识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f693/12248244/730ab9732cbb/HIC-20-31-t-001.jpg

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