Isenberg S R, Hier L A, Chauvin P J
Department of Pathology, Montreal General Hospital, Quebec.
J Can Dent Assoc. 1996 Mar;62(3):262-4.
Clinical diagnosis of a chemical burn of the oral mucous membranes may be a diagnostic challenge. This article's intent is to illustrate the typical appearance of a chemical mucosal burn and to increase awareness of the various compounds which, when in contact with the mucous membranes, can result in a burn. The authors present a case involving a self-inflicted chemical injury of the oral mucous membranes and illustrate how the submission of an easily-obtained tissue specimen for pathologic examination may aid in the diagnosis. Because these superficial tissues can be obtained and submitted without the need for local anesthetic, pathologic examination is a quick, easy, and valuable diagnostic test when a patient's history is difficult to obtain or intentionally misleading.
口腔黏膜化学灼伤的临床诊断可能具有挑战性。本文旨在阐述化学性黏膜灼伤的典型表现,并提高对各种与黏膜接触时可导致灼伤的化合物的认识。作者介绍了一例口腔黏膜自伤性化学损伤病例,并说明了提交易于获取的组织标本进行病理检查如何有助于诊断。由于无需局部麻醉即可获取和提交这些浅表组织,因此当难以获取患者病史或病史有意误导时,病理检查是一种快速、简便且有价值的诊断测试。