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[肉芽肿性舌炎——梅克尔森-罗森塔尔综合征的一种罕见亚型]

[Glossitis granulomatosa--an unusual subtype of Melkersson-Rosenthal syndrome].

作者信息

Hornstein O P

机构信息

Dermatologische Universitätsklinik Erlangen.

出版信息

Mund Kiefer Gesichtschir. 1998 Jan;2(1):14-9. doi: 10.1007/s100060050021.

Abstract

So-called "glossitis granulomatosa", described in 1952 by H. Schuermann as a peculiar manifestation of Melkersson-Rosenthal syndrome (MRS), is little known in oral medicine due to the paucity of cases published so far. During the past 25 years the author has observed eight definite cases of glossitis granulomatosa and confirmed its close connections with MRS. The recurrent inflammation tends to change into persisting macroglossia with considerable functional and sensory oral disturbances. The clinical diagnosis, histologically supported by biopsy, can definitely be established, yet the outcome of the mostly chronic macroglossitis (with danger of later tongue carcinoma) may be very doubtful. Knowledge of Schuermann's glossitis, a member of the group of etiologically unclarified lingual inflammations, is important for physicians involved in oral medicine because of its therapeutic and prognostic implications.

摘要

1952年,H. 舒尔曼将所谓的“肉芽肿性舌炎”描述为梅尔克森 - 罗森塔尔综合征(MRS)的一种特殊表现。由于迄今为止发表的病例稀少,它在口腔医学中鲜为人知。在过去25年里,作者观察到8例明确的肉芽肿性舌炎病例,并证实了它与MRS的密切联系。反复炎症倾向于转变为持续性巨舌症,并伴有相当严重的口腔功能和感觉障碍。临床诊断在活检的组织学支持下可以明确确立,但大多数慢性巨舌症(有后期舌癌风险)的预后可能非常不确定。了解舒尔曼舌炎,这一病因不明的舌部炎症群体中的一员,对从事口腔医学的医生来说很重要,因为它具有治疗和预后意义。

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