22 research outputs found
Consideraciones en el diagnóstico de psoriasis oral: presentación de un caso clínico
Este artículo comenta las dificultades de hacer un diagnóstico
definitivo de psoriasis oral basado en la evidencia clínica e
histológica. Se presenta un joven varón negro con múltiples
lesiones que muestran erosiones, fisuras y escaras amarillentas
en el borde bermellón de ambos labios. También tenía áreas
eritematosas-erosivas en la encía, una lengua fisurada que mostraba
áreas grisáceas en su superficie ventral, lesiones blanquecinas
y lesiones longitudinales en el paladar duro junto lesiones
entrelazadas en el paladar blando. Las biopsias del labio
inferior , la encía y el paladar blando mostraron hiperqueratosis,
espongiosis, acantosis, y elongación de las crestas epiteliales.
Además, se observaron micro-abscesos intraepiteliales de
Munro. Estos resultados son coincidentes con psoriasis oral.
No tenía las lesiones cutáneas típicas ni una historia familiar de
psoriasis.This paper discusses the difficulties in making a definitive diagnosis
of oral psoriasis based upon clinical and histological
evidence only. A young black male presented with multiple
lesions showing erosions, fissures, and yellowish scales on the
vermilion borders of both lips. He also had erythematous-erosive areas on the gingivae, a fissured tongue showing greyish areas
on its ventral surface, whitish lesions and longitudinal sulci in
the hard palate with lacelike lesions on the soft palate. Biopsies
from the lower lip, gingiva and soft palate showed hyperkeratosis,
spongiosis, acanthosis, and elongation of rete ridges. In
addition, collections intraepithelial micro-abscesses of Munro
were observed. These findings are consistent with oral psoriasis.
Typical cutaneous lesions and a family history of psoriasis were
absent
Preparaciones de base líquida vs. citología convencional: adecuación de las muestras y coincidencia de diagnóstico en lesiones orales
Objetivo: Comparar la efectividad de la muestra y la coincidencia
de diagnostico entre preparaciones de base liquida y
frotis convencionales en lesiones orales, y probar la viabilidad
de la prueba inmuno-citoquimica en preparaciones de base
liquida de lesiones de carcinoma oral. Material y Metodos: Se
obtuvieron muestras de 44 pacientes. Primeramente se prepararon
frotis convencionales, usando un dispositivo cytobrush.
A continuacion se sumergio el cepillo que contenia el material
residual en un liquido conservante. La muestra en el mismo
fue procesada de acuerdo con las indicaciones del fabricante
(AutoCyte, Inc. Elon College, North Carolina, USA). Se
tineron preparaciones de ambas tecnicas de acuerdo con el
metodo de Papanicolaou. Para la prueba inmuno-citoquimica
se usaron conjuntamente AE1/AE3 (Dako, CA, USA) para
las lesiones de carcinoma oral, de acuerdo con el metodo de
la Estreptovidina-biotina-peroxidasa. Se uso la prueba exacta
de Fisher; fijandose la probabilidad significativa en p . 0.05.
Resultados: Ambas tecnicas coincidieron en el diagnostico
citologico en todos los casos donde se uso una muestra adecuada;
en 3 casos el frotis convencional mostro hipocelularidad y, por
lo tanto, resulto inadecuado para el analisis. En el analisis
de muestras, la citologia de base liquida mostro una mejora
general estadisticamente significativa), de un 41% en espesura
de frotis y de un 66% en la distribucion de celulas (p . 0.05),
ademas de una reduccion en la superposicion de celulas y la
presencia de sangre (p . 0.05). La morfologia celular se observó mejor en las preparaciones de base líquida. Las reacciones de la
prueba inmuno-citoquímica fueron positivas en todos los casos
de malignidad, siendo especialmente clara la observación de
células inmuno-marcadas. Conclusión: Tanto las preparaciones
de base líquida como los frotis convencionales son dignos de
confianza desde el punto de vista del diagnóstico; el método de
base líquida mostró una mejora general en la preservación de
muestras, adecuación de ejemplares, observación de morfología
celular y reproducibilidad.Objective: To compare specimen adequacy and diagnostic
agreement between liquid-based preparations and conventional
smears in oral lesions, and to test the viability of immunocytochemical
assay in liquid-based preparations from oral carcinoma
lesions. Material and Methods: Samples were collected from
44 patients. Conventional smears were prepared first, using a
cytobrush device. Then the brush, containing the residual material,
was immersed in a preservative fluid. The sample in the
preservative fluid was processed according to the manufacturer
directions (AutoCyte, Inc. Elon College, North Carolina, USA).
Slides of both techniques were stained by Papanicolaou method.
For immunocytochemical assay, a cytokeratin pool AE1/AE3
(Dako, CA, USA) was applied in liquid-based preparations
from oral carcinoma lesions following the Streptavidin-biotinperoxidase
method. Fisher's exact test was used; significance
was set for p = 0.05.
Results: Both techniques agreed on cytologic diagnosis in every
case they yielded an adequate specimen; in 3 cases conventional
smear resulted in hypocellularity and therefore inadequate for
analysis. On specimen analysis, the liquid-based cytology demonstrated
a statistically significant, 41% overall improvement
in smear thickness and 66% in cell distribution (p = 0.05), and a
reduction in cell overlapping and presence of blood (p = 0.05).
The cell morphology was better visualized in the liquid-based
preparations. The immunocytochemical assay reactions were
positive in all malignant cases, the visualization of the immu-nostained cells being especially clear.
Conclusion: Both, the liquid-based preparation and conventional
smear, are diagnostically reliable; the liquid-based method
showed an overall improvement on sample preservation, specimen
adequacy, visualization of cell morphology and reproducibility
Analysis of a possible association between oral lichen planus and drug intake. A controlled study
Objectives: To investigate whether daily systemic and/or topical medication contributes to the development of oral lichen planus (OLP) lesions. Study Design: The study involved 110 OLP patients and 76 control subjects, matched by age, race and sex. The analyzed data included medical records, drug intake and topical medication. Criteria for analysis of drug intake included: (1) ATC-code drug classification; (2) number of different drugs used daily in the categories of monopharmacy (1 drug), minor polypharmacy (2 4 drugs), and major polypharmacy (> 5 drugs); and (3) drugs implicated in lichenoid reactions (DILRs). Results: Sixty (54.5%) of the 110 OLP patients reported daily medication (prior to the appearance of the OLP lesion) compared to 52 (68.4%) of the 76 control subjects. No statistical difference was found between the two groups in terms of systemic diseases, number of medicated individuals in the categories of mono- and polypharmacy, nor use of DILRs (P > 0.05). Regarding the clinical forms and site of involvement, a statistically significant difference was only found for the clinical erosive form of OLP, seen more frequently in non-DILR (P = 0.04) and nonmedicated OLP patients (P = 0.02) than in DILR OLP patients. Daily use of topical oral medication was reported by 2 (1.8%) OLP patients and 1 (1.3%) control subject. Conclusions: It seems that the use of systemic medication does not lead to a significant increase in the incidence of OLP lesions. For their part, lichenoid drug reactions are likely to occur only in a very low percentage of patients. © Medicina Oral S. L
Oral Mucocele of Unusual Size on the Buccal Mucosa: Clinical Presentation and Surgical Approach
Oral mucoceles are small-size, benign minor salivary gland pathologies. The most frequent localizations of these lesions are the lower lip mucosa. However, in some cases, they grow to an unusual size and hinder the preliminary diagnosis of mucocele. The purpose of this article is to report a case of a large oral mucocele with a diameter of 3.5 cm on the buccal mucosa of a 43-years-old male patient. The surgical procedure was carried out for a complete removal of the lesion
A História da Alimentação: balizas historiográficas
Os M. pretenderam traçar um quadro da História da Alimentação, não como um novo ramo epistemológico da disciplina, mas como um campo em desenvolvimento de práticas e atividades especializadas, incluindo pesquisa, formação, publicações, associações, encontros acadêmicos, etc. Um breve relato das condições em que tal campo se assentou faz-se preceder de um panorama dos estudos de alimentação e temas correia tos, em geral, segundo cinco abardagens Ia biológica, a econômica, a social, a cultural e a filosófica!, assim como da identificação das contribuições mais relevantes da Antropologia, Arqueologia, Sociologia e Geografia. A fim de comentar a multiforme e volumosa bibliografia histórica, foi ela organizada segundo critérios morfológicos. A seguir, alguns tópicos importantes mereceram tratamento à parte: a fome, o alimento e o domínio religioso, as descobertas européias e a difusão mundial de alimentos, gosto e gastronomia. O artigo se encerra com um rápido balanço crítico da historiografia brasileira sobre o tema
Carcinoma epidermóide oral em paciente jovem: relato de caso e revisão da literatura
O carcinoma epidermóide constitui a neoplasia maligna mais comum da boca, afetando principalmente indivíduos com mais de 50 anos. Sua ocorrência em jovens, com idade inferior a 40 anos, é rara (1 a 6% dos casos). Descreve-se um caso de carcinoma epidermóide acometendo dorso e borda da língua, classificado como T2N1M0 (estádio III), em paciente do sexo feminino, leucoderma, 25 anos, não-fumante e não-etilista. A apresentação inicial do caso era de ulceração profunda com dor intensa. Fatores predisponentes locais e gerais, diagnóstico diferencial e prognóstico são discutidos, bem como a revisão da literatura referente a diversos aspectos do carcinoma epidermóide em jovens
Periodontal aspects of the juvenile form of paracoccidioidomycosis
Three cases of the juvenile form of paracoccidioidomycosis are reported. Emphasis has been given to the oral manifestations, particularly the periodontal involvement. The main periodontal findings were: generalized and progressive alveolar bone destruction leading to gingival recession with exposure of the tooth roots, and spontaneous tooth losses. The gingival mucosa was predominantly smooth, erithematous and slightly swollen. These aspects, although rare, may be the earliest signs of the disease and sometimes its only manifestation