RESUMO
We present a case of transient lingual papillitis associated with confirmed herpes simplex virus 1 that developed after a child received intravenous immunoglobulin and infliximab for acute Kawasaki disease.
Assuntos
Glossite/virologia , Herpes Simples/virologia , Herpesvirus Humano 1/isolamento & purificação , Síndrome de Linfonodos Mucocutâneos/complicações , Anticorpos Antivirais/sangue , Glossite/diagnóstico , Glossite/fisiopatologia , Herpes Simples/diagnóstico , Herpes Simples/fisiopatologia , Herpesvirus Humano 1/imunologia , Humanos , Imunoglobulina G/sangue , Lactente , MasculinoAssuntos
Queilite/etiologia , Edema/etiologia , Abuso de Inalantes/diagnóstico , Adolescente , Propelentes de Aerossol/toxicidade , Queilite/induzido quimicamente , Queilite/tratamento farmacológico , Queilite/fisiopatologia , Diagnóstico Diferencial , Edema/induzido quimicamente , Edema/tratamento farmacológico , Edema/fisiopatologia , Traumatismos dos Dedos/induzido quimicamente , Traumatismos dos Dedos/etiologia , Congelamento das Extremidades/induzido quimicamente , Congelamento das Extremidades/etiologia , Glossite/induzido quimicamente , Glossite/tratamento farmacológico , Glossite/etiologia , Glossite/fisiopatologia , Humanos , Abuso de Inalantes/fisiopatologia , Masculino , Autorrelato , Índice de Gravidade de Doença , Resultado do TratamentoRESUMO
Primary stomatodynia involves mainly women after menopause presenting somatization, depression and anxiety at values higher than control subjects. This chronic pain is often an intense burning pain beginning in the tongue the entire oral cavity, increasing in intensity through the day with a high level of emotional after effects. These patients often describe two associated symptoms: mouth dryness sensation and altered taste. The causes remain uncertain. The participation of female sexual hormones and neuropathic factors has been suggested possibly through a sensory neuropathy of small fibers of the oral mucosa. Normal clinical examinations and non clinical tests differentiate primary from secondary stomatodynia. The management consists in using low doses of topical clonazepam without swallowing or systemic clonazepam. The association of this drug with tricyclic antidepressants has given variable results. A cognitive behavioural management has been successfully attempted.