Heasman P A, MacLeod I, Smith D G
Department of Restorative Dentistry, Dental School, Newcastle upon Tyne, U.K.
J Periodontol. 1994 May;65(5):442-7. doi: 10.1902/jop.1994.65.5.442.
This report describes the case of a 21-year-old female who presented with localized gingival ulceration that over a period of 4 weeks became generalized, affecting all the buccal gingiva as well as the lower lip. A detailed medical history suggested that the patient was generating the lesions herself. She was monitored for 6 months, during which time additional lesions developed on the scalp and face. Conventional therapy failed to resolve the lesions and the patient was ultimately referred for a psychiatric consultation in view of the similarity of this case with previously reported cases of factitious disease.
本报告描述了一名21岁女性的病例，该患者最初出现局限性牙龈溃疡，在4周内发展为全身性，累及所有颊侧牙龈以及下唇。详细的病史表明这些病变是患者自己造成的。她接受了6个月的监测，在此期间头皮和面部出现了更多病变。常规治疗未能使病变消退，鉴于该病例与先前报道的人为性疾病病例相似，患者最终被转介至精神科进行会诊。
