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Scleroderma: a case report.

Gulay Altan1, Taha Emre Kose1, Tamer Lutfu Erdem2

  • 1Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Istanbul University, Turkey.

Journal of Istanbul University Faculty of Dentistry
|September 29, 2017
PubMed
Summary
This summary is machine-generated.

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Scleroderma, an autoimmune disease causing fibrosis, can lead to mandibular bone resorption. This case report highlights a patient with scleroderma exhibiting jaw and periodontal changes.

Area of Science:

  • Rheumatology
  • Oral Medicine
  • Autoimmune Diseases

Background:

  • Scleroderma is a systemic autoimmune connective tissue disease characterized by fibrosis affecting visceral organs, skin, and blood vessels.
  • It presents in localized or systemic forms, with an estimated prevalence of 250 cases per million, predominantly affecting women.
  • Common clinical manifestations include facial changes like atrophy of the ala nasi and decreased skin wrinkles due to sclerosis.

Observation:

  • This case report details a 40-year-old female patient diagnosed with scleroderma.
  • The patient presented with significant resorption of the mandibular angle and coronoid process.
  • Widening of the periodontal space was also noted, suggesting advanced disease manifestation.

Findings:

  • The observed resorption of the mandibular angle and coronoid process in scleroderma patients is attributed to the pressure exerted by fibrous mucocutaneous tissues.
Keywords:
Sclerodermabone resorptionlamina dura

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  • Facial features can be distinct due to scleroderma-induced atrophy, impacting structures like the ala nasi.
  • Periodontal space widening indicates potential systemic effects on oral structures.

    • Implications:

    • This case underscores the importance of recognizing oral manifestations in scleroderma patients, including mandibular bone resorption and periodontal changes.
    • Dentists and rheumatologists should collaborate to diagnose and manage these oral complications.
    • Early identification of these signs can aid in monitoring disease progression and improving patient outcomes.