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Gingival involvement in oral paracoccidioidomycosis
Cléverson O Silva1, Aroldo Dos Santos Almeida, Alessandro Antônio Costa Pereira
1Department of Prosthodontics and Periodontics, School of Dentistry at Piracicaba, University of Campinas, Campinas, SP, Brazil. silvaco@fop.unicamp.br
Journal of Periodontology
|July 5, 2007
Summary
Oral paracoccidioidomycosis frequently affects the gingiva, a common site for this fungal infection. Early diagnosis of gingival lesions is crucial to prevent severe complications.
Area of Science:
- Medical Mycology
- Oral Pathology
- Periodontology
Background:
- Paracoccidioidomycosis is a deep fungal infection endemic to Latin America.
- Oral lesions, particularly gingival, are common manifestations.
- The periodontal literature lacks comprehensive data on oral paracoccidioidomycosis.
Purpose of the Study:
- To characterize gingival involvement in oral paracoccidioidomycosis.
- To compare clinical and histopathologic diagnostic methods.
- To review differential diagnosis and management strategies.
Main Methods:
- Retrospective review of 46 oral pathology cases (1995-2006).
- Inclusion criteria: clinical diagnosis of oral paracoccidioidomycosis.
- Data collected: demographics, lesion location, histopathologic diagnosis.
Main Results:
- 34 cases confirmed as paracoccidioidomycosis; 12 misdiagnosed (carcinoma, leukoplakia).
- Gingiva/alveolar process was the most prevalent site (52%) in confirmed cases.
- Most patients were men (88%), white (75%), in their fourth decade (47%).
Conclusions:
- Oral paracoccidioidomycosis shows a strong predilection for the gingiva.
- Patients with gingival lesions are demographically similar to those without.
- Prompt diagnosis of oral/gingival lesions can prevent severe outcomes.
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