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Oral complaints in progressive systemic sclerosis: two cases report.
Cláudia Cazal1, Ana Paula Veras Sobral, Ridel Frota Sá Nogueira Neves
1Oral Pathology Department of the Dentistry School of CESMAC, Brazil.
Progressive systemic sclerosis, a connective tissue disease, causes oral and facial issues like dry mouth and tongue rigidity. This paper details two cases, highlighting the disease's significant oral and facial impacts.
Area of Science:
- Rheumatology
- Dermatology
- Oral Medicine
Background:
- Progressive systemic sclerosis (PSS) is a chronic condition characterized by extracellular matrix deposition and vascular abnormalities, leading to tissue hypoxia.
- Oral and facial manifestations are common in PSS, impacting aesthetics and function.
- Key oral symptoms include xerostomia (dry mouth) and tongue rigidity.
Observation:
- This paper presents two clinical cases of patients with PSS exhibiting distinct oral and facial symptoms.
- Observed manifestations included tongue rigidity, facial skin changes, and mandibular bone resorption.
- Systemic involvement, such as cardiac issues and Raynaud's phenomenon, was also noted.
Findings:
- The cases illustrate the diverse and significant oral and facial alterations associated with PSS.
- Early recognition of oral symptoms like tongue rigidity can be crucial for patient management.
- The study underscores the link between systemic sclerosis and dental/facial complications.
Implications:
- Increased awareness among clinicians regarding the oral and facial manifestations of PSS is essential.
- Prompt diagnosis and management of oral symptoms can improve patient quality of life.
- Further research into the specific mechanisms driving oral pathology in PSS is warranted.
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