scholarly journals Erythema Multiforme versus Herpes Simplex Virus, what is the diagnosis? A review and a case report.

2019 ◽  
Vol 12 (04) ◽  
pp. 2123-2132
Author(s):  
Sura Ali Ahmed Fuoad ◽  
Fadia Michel Kusairy ◽  
Walid Shabban Al-Sayed ◽  
Prabhu M. N. ◽  
Pooja Narain Adtani

One of the commonly encountered lesions in oral cavity is oral ulceration. They arise from various etiology, being associated with discomfort or pain, rarely results in complications and scarring. The nonspecific clinical presentation of oral ulceration in the oral cavity, will made their diagnosis crucial, however a detailed patient history, comprehensive clinical examination together with background knowledge of possible causes will lead to correct diagnosis and subsequent treatment, moreover distinguishing between erythema multiforme (EM) and herpes simples viral infection (HSV) when there is only oral involvement is of a great importance as the treatment of EM is contra indicated for HSV.

Author(s):  
Ana Luiza Lataliza COSTA ◽  
Ana Luísa Machado BATISTA ◽  
Sara Ferreira dos Santos COSTA ◽  
Juliana Vilela BASTOS ◽  
Roselaine Moreira Coelho MILAGRES ◽  
...  

ABSTRACT Exostoses or hyperostoses are benign bony outgrowths originating from the cortical bone and depend on their location for a more precise designation. The most common types found in the oral cavity are the torus palatinus and the torus mandibularis. Buccal and palatal exostoses are located along the buccal aspect of the maxilla and/or the mandible (commonly in the premolar and molar areas) and on the palatal aspect of the maxilla (usually in the tuberosity area), respectively. The etiology of exostoses still hasn’t been enlightened but an interaction between environmental and genetic factors is accredited. They are usually asymptomatic, unless the mucosa becomes ulcerated. The frequency of exostoses increases with age, having their biggest prevalence from 60 years old, being more common in men and suffering ethnic influences. A thorough evaluation is important for the correct diagnosis since other lesions have similar clinical characteristics to the exostoses such as osteomas. The majority of exostoses are diagnosed clinically along with radiographic interpretations, making the biopsy dispensable and the treatment is usually unnecessary. The aim of this article was to describe a case report of bilateral maxillary exostosis, unusual, in a female patient. If an excessive amount of bone is present the exostoses may exhibit a relative radiopacity on dental radiographs. Initially, periapical and panoramic radiographs were performed to evaluate the alterations. Due to the size of the exostoses a concomitant Cone Beam Computed Tomography was performed to confirm the diagnosis. The patient is in follow-up.


2019 ◽  
Vol 3 (1) ◽  
pp. 57
Author(s):  
Farhani Azizah ◽  
Irna Sufiawati ◽  
Mieke Hemiawati Satari

Pendahuluan: Salah satu virus yang menginfeksi rongga mulut adalah Herpes Simpleks Virus-1 (HSV-1). Virus ini menjadi patogen utama pada berbagai macam inang dan dapat menyebabkan berbagai macam penyakit orofasial. Tatalaksana infeksi HSV-1 memiliki pola terapi yang beragam bergantung pada kondisi klinis pasien. Tujuan penelitian ini adalah memperoleh data mengenai pola dan terapi penyakit mulut karena infeksi HSV-1. Metode: Data yang dikumpulkan merupakan data sekunder berasal dari logbook dan rekam medik pasien di Poliklinik Gigi dan Mulut RSUP Dr. Hasan Sadikin Bandung periode 2013-2017. Sampel penelitian ditentukan menggunakan metode purposive sampling, yaitu rekam medik pasien dengan diagnosis penyakit mulut karena infeksi HSV-1. Hasil: Pola penyakit mulut pada instalasi rawat jalan yaitu Recurrent Intraoral Herpes (RIH) sebanyak 84,91%, Herpes Associated Erythema Multiforme (HAEM) 9,43%, Herpes labialis 3,77%, dan Primary Herpetic Gingivo Stomatitis (PHGS) 1,89%. Pola penyakit mulut pada rawat inap yaitu Recurrent Intraoral Herpes (RIH) sebanyak 85,71% dan Herpes labialis sebanyak 14,29%. Pemberian terapi sangat bervariatif yaitu kombinasi asiklovir, antiseptik, multivitamin, antiinflamasi steroid, NSAID, pelembab bibir, antibiotik, antihistamin, dan antifungal. Simpulan: Penyakit mulut karena infeksi HSV-1 yang paling sering ditemukan baik pada instalasi rawat jalan maupun rawat inap adalah recurrent intraoral herpes. Pemberian terapi yang paling sering digunakan pada instalasi rawat jalan yaitu kombinasi obat antiinflamasi steroid dan multivitamin, sedangkan pada instalasi rawat inap yaitu multivitamin dan kombinasi asiklovir, antiseptik, dan multivitamin.Kata kunci: Pola penyakit mulut, pola terapi, infeksi Herpes Simpleks Virus-1 ABSTRACTIntroduction: One of the viruses that infect the oral cavity is Herpes Simplex Virus-1 (HSV-1). This virus becomes the primary pathogen in various types of hosts and can cause various kinds of orofacial diseases. Management of HSV-1 infection has a diverse pattern of therapy depending on the clinical condition of the patient. The purpose of this study was to obtain data on the patterns and treatment of oral diseases due to HSV-1 infection. Methods: Data collected was secondary data from the logbook and medical records of patients at the Dental Polyclinic of Dr Hasan Sadikin Hospital Bandung in 2013-2017. The study sample was determined using a purposive sampling method, namely medical records of patients with a diagnosis of oral disease due to HSV-1 infection. Results: The pattern of oral disease in outpatient installations, namely Recurrent Intraoral Herpes (RIH) 84.91%, Associated Erythema Multiforme (HAEM) Herpes 9.43%, Herpes labialis 3.77%, and Primary Herpetic Gingivo Stomatitis (PHGS) 1.89%. The pattern of oral disease in inpatient installations, namely Recurrent Intraoral Herpes (RIH) as much as 85.71% and Herpes labialis 14.29%. Given therapy was very varied, namely a combination of acyclovir, antiseptic, multivitamin, anti-inflammatory steroid, NSAIDs, lip moisturisers, antibiotics, antihistamines, and antifungal. Conclusion: Oral disease due to HSV-1 infection that is most often found both in outpatient and inpatient installations is recurrent intraoral herpes. The most commonly used therapy in outpatient installations is a combination of steroid anti-inflammatory drugs and multivitamins, while in inpatient installations are multivitamins and a combination of acyclovir, antiseptic, and multivitamins.Keywords: Oral disease patterns, therapy patterns, Herpes Simplex Virus-1 infection


Dental Update ◽  
2021 ◽  
Vol 48 (2) ◽  
pp. 141-143
Author(s):  
Pavneet Chana ◽  
Daniela Ion

Oral ulceration is a common condition that can affect the oral mucosa, and patients often present in both primary and secondary care. There are a number of causes of oral ulceration, ranging from trauma to malignancy. The cause of the oral ulceration can be difficult to establish, especially when the history and investigations do not support an obvious cause. We report a case of a 19-year-old male who presented with a 2-month history of worsening oral ulceration. Despite further questioning and investigations, the cause of the oral ulceration remained elusive. CPD/Clinical Relevance: To understand the clinical presentation and causes of oral ulceration.


2020 ◽  
Vol 11 (1) ◽  
pp. 97-100
Author(s):  
Jeroen P. M. Peters ◽  
Pauline M. W. van Kempen ◽  
Sybren M. M. Robijn ◽  
Hans G. X. M. Thomeer

Angina bullosa hemorrhagica (ABH) is a rare, benign disorder characterized by one or multiple blood-filled blisters in the oral cavity (mainly soft palate, and sometimes oropharynx) with a sudden onset, that may lead to a potentially threatened airway. The most common hypothesis of its unknown origin is mild trauma. This lesion can easily be confused with other mucosal diseases or hematological disorders. Knowledge of the condition is important for correct diagnosis and treatment. Incision of the bulla, intubation, or even tracheotomy may be indicated. Here we present a case of 35-year-old woman with a complaint of dysphagia without dyspnea. During oral examination, a blue and/or purple blister on the soft palate was present. On endoscopic examination, an edematous uvula was observed, without other abnormalities. Eventually, the blister ruptured spontaneously and healed within one week without any sequelae.


2014 ◽  
Vol 13 (3) ◽  
pp. 249-253 ◽  
Author(s):  
Salomão Israel Monteiro Lourenço Queiroz ◽  
Gleysson Matias de Assis ◽  
Valéria Damasceno Silvestre ◽  
Adriano Rocha Germano ◽  
José Sandro Pereira da Silva

Hemangiomas are benign neoplasms that are common in the head and neck, but relatively rare in the oral cavity. They can cause esthetic and functional impairment, depending on location. The most common site is the upper lip, but they can occur in other areas, such as the tongue, buccal mucosa and palate. Treatment is primarily dependent on correct diagnosis of the lesion and on its anatomic location. The purpose of this article is to provide a description of a case of a hemangioma on the upper lip, treated by therapeutic sclerosis with monoethanolamine oleate (Ethamolin®), covering clinical characteristics and methods for diagnosing these lesions. Precise diagnosis and appropriate therapeutic management resulted in satisfactory esthetic and functional results, with total regression of the lesion and no signs of relapse at 1-year follow-up.


2017 ◽  
Vol 126 (5) ◽  
pp. 424-428 ◽  
Author(s):  
Lucas Harless ◽  
Nancy Jiang ◽  
Frank Schneider ◽  
Megan Durr

Objectives: Herpes simplex virus (HSV) laryngitis is rare in adults. We add a case report to the literature and perform a literature review to further delineate the clinical presentation, course, and treatment of HSV laryngitis in adults. Methods: Case report and literature review using PubMed and Ovid databases. Results: Ten cases of diagnosed HSV laryngitis in adults were reported in the literature. It is more common in immunocompromised patients. The mean patient age was 51 years with a male to female ratio of 1:1. The clinical presentation and course of HSV laryngitis is variable. Patients may have mild chronic symptoms, such as dysphonia, or a fulminant course with rapid airway compromise. On laryngoscopic exam, the most common findings are a white exudate or ulceration. The most common treatment is with antiviral medication, such as acyclovir, which tends to be highly effective. Conclusions: Herpes simplex virus laryngitis is rare. Clinical presentation of HSV laryngitis is variable, and its course may be indolent or fulminant. Treatment with antiviral medication tends to be highly effective.


2013 ◽  
pp. 46-47 ◽  
Author(s):  
Nathalia García-León ◽  
Gilberto E Marrugo

Mucoceles arising from the Blandin Nuhn glands are uncommon benign lesions of the oral cavity, which by their clinical presentation may be confused with more serious diseases such as vascular lesions, pyogenic granulomas, polyps, or squamous papillomas; thereby, it is convenient to be aware of the characteristics of this entity to guide the accurate and timely diagnosis and treatment. Herein, we present a case of a 10-year-old patient with a recurrent lesion of this type, which required surgical excision and marsupialization of the same, with no evidence of recurrence during follow-up.


2020 ◽  
Vol 22 (1) ◽  
pp. 58-61
Author(s):  
Hs Mubarak Hossain ◽  
Ashfaq Ahmad ◽  
Mamoon Ibn Amin ◽  
Ziaul Answar Chowdhury

Lipomas are adipose mesenchymal neoplasms. The oral cavity is not commonly affected. representing about0.5% to 5% of all benign oral tumors. The clinical presentation is typically as an asymptomatic yellowish mass.The overlying epithelium is intact and superficial blood vessels are usually evident over the tumour. Although benign in nature their progressive growth may cause interference with speech and mastication due to tumour’s dimension. The present report shows the case of a 52-year old male who presented with a large intraoral lipoma with extension to the right submandibular region. Bangladesh J Otorhinolaryngol; April 2016; 22(1): 58-61


Jurnal Medali ◽  
2021 ◽  
Vol 3 (1) ◽  
pp. 51
Author(s):  
Yayun Siti Rochmah ◽  
Rochman Mujayanto

Background : Erythema multiforme is an acute mucocutaneous inflammation which is self limiting desease. One of caused of Erythema multiforme is Herpes Simplex Virus infection diagnosed as Herpes Associated Erytema Multiforme (HAEM). The psychosomatic patients should be wary of anti-depressant therapy, because if there is an allergy, it can trigger the occurrence of erthema multiformis. In this paper, we will reported HAEM case on psychosomatic patient.Case and management : A case of 23 years old female patient with chief complaint sore and pain lips since one weeks ago. The patient has been on anti-depressant therapy for one month. Clinical examination on patient showed that there were erosive lesion covered by reddish brown crusta, sloughing on the border between lips and labial mucosa, and bloody lips. The results of laboratory tests show positive HSV. Patient was diagnosed with HAEM. Therapy given to the patient was corticosteroid topical oitment, acyclovir and oral rinse antiseptics. After two weeks the administration, condition on the patient has improved.Conclusions : HAEM cases if treated properly can recover well. Trigger factors must be controlled so that not recurrance


2020 ◽  
Vol 1 (1) ◽  
pp. 17-19
Author(s):  
Bhawana Sigdel ◽  
Sneha Shrestha ◽  
Mamta Dali ◽  
Amita Rai ◽  
Ashish Shrestha ◽  
...  

The buccal fat pad is an encapsulated mass located within the buccal facial spaces. It is relatively large in neonate and infants. A tiny perforation on buccal mucosa, fascia or buccinator muscle can lead to the herniation of buccal fat pad in young children. Trauma is the most common etiology. Such situation demands careful examination of oral cavity and thorough history taking to avoid any misdiagnosis. This paper reports a clinical presentation and management of herniation of buccal fat pad on a 22-month-old-girl following trauma to her left cheek region with sugarcane.


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