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[Internal medicine, seen from the mouth].
Pauline Salamin1, Vanessa Kraege1, Martin Broome2
1Service de médecine interne, CHUV, 1011 Lausanne.
Revue Medicale Suisse
|November 21, 2019
Summary
Oral signs like a strawberry tongue or gum changes can indicate serious systemic diseases. Internists should examine the mouth for early detection and diagnosis of these conditions.
Area of Science:
- Oral Medicine
- Internal Medicine
- Dermatology
Background:
- The oral cavity is frequently affected by various systemic diseases.
- Oral manifestations can serve as crucial indicators of underlying health conditions.
- Systemic diseases often present with distinct signs within the oral cavity.
Purpose of the Study:
- To highlight the importance of oral semiology in internal medicine.
- To present five distinct oral lesions as indicators of systemic conditions.
- To emphasize the role of differential diagnosis in identifying severe diseases from oral findings.
Main Methods:
- Presentation of five clinical cases with specific oral manifestations.
- Detailed description of oral semiology findings: strawberry tongue, ulceration, labial lesion, gingival hyperplasia, gingival hyperpigmentation.
- Discussion of differential diagnoses for each presented oral condition.
Main Results:
- Specific oral signs, including strawberry tongue, ulcerations, labial lesions, gingival hyperplasia, and hyperpigmentation, were illustrated.
- These oral findings were linked to potential underlying systemic diseases.
- The study demonstrates the diagnostic value of observing these oral signs.
Conclusions:
- Oral semiology is a vital tool for internists to detect systemic diseases.
- Prompt recognition and differential diagnosis of oral lesions can lead to the identification of severe underlying conditions.
- A thorough oral examination should be an integral part of a comprehensive medical assessment.
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