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Primary biliary cirrhosis. Sole presentation with rampant dental caries
A Richards1, J Rooney, S Prime
1University Department of Oral Medicine, Pathology and Microbiology, Bristol Dental School and Health, UK.
Oral Surgery, Oral Medicine, and Oral Pathology
|January 1, 1994
Abstract:
A 55-year-old woman was referred by her general dental practitioner for management of rampant dental caries of recent onset. Examination revealed a very dry mouth, angular stomatitis, and multiple carious lesions. Labial salivary gland biopsy showed features consistent with Sjögren's syndrome. Hematologic investigations showed antimitochondrial antibodies at a titer of 1 in 320, highly suggestive of primary biliary cirrhosis that was confirmed by liver biopsy.