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口腔黏膜嗜酸性溃疡:一例舌部复发病例报告。

Eosinophilic ulcer of the oral mucosa: report of a recurrent case on the tongue.

作者信息

Vélez A, Alamillos F J, Dean A, Rodas J, Acosta A

机构信息

Section of Dermatology, Hospital Universitario Reina Sofia, Córdoba, Spain.

出版信息

Clin Exp Dermatol. 1997 May;22(3):154-6.

PMID:9425699
Abstract

Eosinophilic ulcer of the oral mucosa (EUOM) is an uncommon lesion that usually affects the tongue. The lesion is benign and self-limiting, develops rapidly and usually disappears after several weeks without treatment. Microscopically, it contains a diffuse polymorphous cell infiltrate composed mainly of eosinophils. The cause of EUOM is unknown, but the condition has been attributed to trauma. We now describe a case of EUOM on the lateral surface of the tongue with recurrence on its dorsal surface 3 years later. The occurrence of multiple lesions, whether at the same time or subsequently as reported here, makes a purely traumatic origin rather unlikely and suggests that there may be a predisposition of some patients to develop EUOM. Eosinophilic ulcer of the oral mucosa (EUOM) is an uncommon lesion that is very rarely reported in the dermatological literature. It usually affects the tongue and presents clinically as an ulcer with elevated and indurated borders. Recognition is important because it often mimicks tongue cancer; however, the lesion is benign and self-limiting, develops rapidly and usually disappears after several weeks without treatment. Usually the ulcer occurs in a single episode, but the possibility of recurrence at other sites has been poorly emphasized.

摘要

口腔黏膜嗜酸性溃疡(EUOM)是一种罕见的病变,通常累及舌头。该病变为良性且具有自限性,发展迅速,通常在数周内未经治疗即可自行消失。显微镜下,它含有主要由嗜酸性粒细胞组成的弥漫性多形细胞浸润。EUOM的病因尚不清楚,但该病症被认为与创伤有关。我们现在描述一例发生在舌侧面的EUOM病例,3年后在舌背复发。正如本文所报道的,无论是同时还是随后出现多个病变,都不太可能单纯由创伤引起,这表明某些患者可能存在发生EUOM的易感性。口腔黏膜嗜酸性溃疡(EUOM)是一种罕见的病变,在皮肤病学文献中很少有报道。它通常累及舌头,临床上表现为边界隆起且硬结的溃疡。认识到这一点很重要,因为它常常会误诊为舌癌;然而,该病变是良性且具有自限性的,发展迅速,通常在数周内未经治疗即可自行消失。通常溃疡仅发作一次,但其他部位复发的可能性一直未得到充分重视。

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