RESUMO
Oral submucous fibrosis is a chronic debilitating disorder which is usually seen in adults with areca nut chewing habit. A rapid upsurge in the popularity of commercial areca nut products, especially among the younger generation, is a cause of grave concern, as satisfactory management is still lacking. Hereby, two pediatric cases of oral submucous fibrosis are reported.
Assuntos
Fibrose Oral Submucosa/diagnóstico , Areca/efeitos adversos , Criança , Suplementos Nutricionais , Terapia por Exercício , Feminino , Seguimentos , Humanos , Ferro da Dieta/uso terapêutico , Masculino , Antissépticos Bucais/uso terapêutico , Vitamina A/uso terapêutico , Vitaminas/uso terapêutico , Acetato de Zinco/uso terapêuticoRESUMO
We report a case of a 24-year-old man who presented with a complaint of reduced mouth opening and a burning sensation. On examination, he was clinically diagnosed with oral submucous fibrosis (OSF). Following routine biopsy and histopathological confirmation of OSF, the patient was supplemented with zinc acetate along with vitamin A and was followed up for 4 months. Following treatment the patient reported increased mouth opening and a reduced burning sensation. Histopathologically re-epithelialisation was evident along with the appearance of normal rete pegs. The data for mouth opening, collagen content and epithelial thickness of six other cases similarly treated are also presented, showing a significant increase in mouth opening and epithelial thickness and decrease in collagen content. We propose the use of zinc acetate and vitamin A for the management of OSF.
Assuntos
Fibrose Oral Submucosa/tratamento farmacológico , Vitamina A/uso terapêutico , Acetato de Zinco/uso terapêutico , Administração Oral , Biópsia , Humanos , Masculino , Fibrose Oral Submucosa/diagnóstico , Vitamina A/administração & dosagem , Adulto Jovem , Acetato de Zinco/administração & dosagemRESUMO
A simple definition of a mucosal white lesion would be "a lesion which appears clinically whiter than the surrounding mucosa." Mucosal white lesions are to be taken seriously because a small proportion of these are known to possess malignant potential which often pose a diagnostic challenge even to an experienced clinician. Differentiation between white lesions with a potential is therefore of paramount importance. When in doubt, the clinician should always perform a biopsy of the lesion and seek a histopathologic report (AU)