medigraphic.com
ISSN 0001-0944 (Print)
Órgano Oficial de la Asociación Dental Mexicana

2022, Number 2

<< Back

Rev ADM 2022; 79 (2)

Lingual pyogenic granuloma in a patient with Sjögren syndrome and burning mouth syndrome manifestations.

González-Díaz I, Chávez-Caballero AJ

Language: Spanish
References: 20
Page: 109-115
PDF size: 338.62 Kb.


ABSTRACT

Introduction: The pyogenic granuloma is a benign tumor, with a reactive behavior that responds to an irritable stimulation. Poor oral hygiene is the most frequent factor. Clinically it represents an exophytic wound that bleeds easily, average 2.5 cm, asymptomatic, frequently ulcerated, its color ranges from pink to violet depending on its evolution. Histopathologicaly it presents high vascular proliferation, numerus red cell and endothelial canals, polymorphs and chronic inflammation. The extragingival granulomas represent only 16%, the tongue is affected in 4-6.4%. The Sjögren syndrome is an autoimmune pathology where the B cells infiltrate the exocrine glands (salivary and lacrimal) injuring the acinar cells. Its clinical manifestations are xerostomia, xerophthalmia, cervical cavities and candidiasis. Burning mouth syndrome is defined as the presence of pain for 4 to 6 months without the clinical presence of any specific pathology. Clinical case: A 74-year-old female patient with a history of diabetes mellitus II, high blood pressure and rheumatoid arthritis. She refers the appearance of a lesion on the lateral edge of the tongue with a two-month evolution, burning of the oral mucosa and eye irritation. Showing ulcerative lesion on the lingual lateral border of 25 mm. Discussion: Gingival presentation over passes by frequency to its extragingival counterpart, probably due to the ease accumulation of bacterial plaque and tartar, our clinical case is out of the ordinary because it is located on the lingual lateral border, location affected only between 4 and 6%. Conclusions: The first step in a treatment is to recognize the etiological factor, which can be multiple.


REFERENCES

  1. Jafarzadeh H, Sanatkhani M, Mohtasham N. Oral pyogenic granuloma: a review. J Oral Sci. 2006; 48 (4): 167-175.

  2. Parajuli R, Maharjan S. Unusual presentation of oral pyogenic granulomas: a review of two cases. Clin Case Rep. 2018; 6 (4): 690-693.

  3. Peters S, Koslovsky D, Yoon A, Philipone E. Pyogenic granuloma in the tongue in a five year old: a case report. J Clin Pediatr Dent. 2018; 42 (5): 383-385.

  4. McNamara K, Kalmar J. Erythematous and vascular oral mucosal lesions: a clinicopathologic review of red entities. Head Neck Pathol. 2019; 13 (1): 4-15.

  5. Arunmozhi U, Shanmuga R, Kadhiresan R, Govindarajan S, Shaik M. A Large pregnancy tumor of tongue – a case report. J Clin Diagn Res. 2016; 10 (10): ZD10-ZD12.

  6. Saravan G. Oral pyogenic granuloma: a review of 137 cases. Br J Oral Max Surg 2009; 47 (4): 318-319.

  7. Mortazavi N, Gholami A, Amini P, Hosseinkazemi H. Palisaded encapsulated neuroma of the tongue clinically mimicking a pyogenic granuloma: a case report and review of literature. J Dent (Tehran). 2015; 12 (7): 537-541.

  8. Miyake Y, Shinozuka K, Ueki K, Teraoka J, Zama M, Ogisawa S et al. Retrospective clinical study of 296 patients with mass lesions of the tongue. J Oral Sci. 2018; 60 (4): 574-578.

  9. Kamal R, Dahiya P, Puri A. Oral pyogenic granuloma: various concepts of etiopathogenesis. J Oral Maxillofac Pathol. 2012; 16 (1): 79-82.

  10. Marx RE, Stern D. Oral and maxillofacial pathology: a rationale for diagnosis and treatment. 2nd ed. Chicago: Quintessence Pub. Co., 2003, 505-509.

  11. Hills A, Virdi B, Gowans K, McKenzie J. Labial gland biopsies in the diagnosis of Sjögren's syndrome. Int J Oral Max Surg. 2017; 46 (Suppl. 1): 306.

  12. Yu G. Differential diagnosis of multiple enlargement of salivary glands. Int J Oral Max Surg 2017; 46 (1): 6

  13. Rodríguez E, Requena R, Sannazzaro J, Nuñez R, Pampin F, Marambio N et al. Use of fibrin membranes rich in platelets and leukocytes in oral surgery for a patient with Sgogren Syndrome, clinical case. Int J Oral Maxillofac Surg. 2019; 48 (1): 214.

  14. López-Jornet P, Camacho-Alonso F, Andujar-Mateos P, Sánchez-Siles M, Gómez-Garcia F. Burning mouth syndrome: an update. Med Oral Patol Oral Cir Bucal. 2010; 15 (4): e562-568.

  15. Kim MJ, Kim J, Kho HS. Comparison of clinical characteristics between burning mouth syndrome patients with bilateral and unilateral symptoms. Int J Oral Max Surg. 2019; 49 (1): 38-43.

  16. Kaleem H, Haider S. Burning mouth syndrome. Int J Oral Max Surg. 2007; 36 (11): 1033.

  17. Kim MJ, Kim J, Kho HS. Comparison between burning mouth syndrome patients with and without psychological problems. Int J Oral Maxillofac Surg. 2018; 47 (7): 879-887.

  18. Delgado K. Alteraciones causadas por uso del piercing bucal: artículo de revisión. Rev Venez Invest Odont IADR. 2016; 4 (1): 92-105.

  19. Taboada Aranza O, Cerón Argüelles J, Rodríguez Hernández A. Frecuencia y distribución de enfermedades periodontales asociadas a placa bacteriana en pacientes que acuden a una clínica universitaria. Rev ADM 2018; 75 (3): 147-152.

  20. Llena-Puy C. La saliva en el mantenimiento de la salud oral y como ayuda en el diagnóstico de algunas patologías. Med Oral Patol Oral Cir Bucal. 2006; 11 (5): 449-455.




2020     |     www.medigraphic.com