尿性口腔炎:拉丁美洲病例系列和文献综述
José Alcides Almeida de Arruda1, João Luiz Gomes Carneiro Monteiro2, Maria Eduarda Zeraik Barreto3
1Department of Oral Diagnosis and Pathology, School of Dentistry, Universidade Federal do Rio de Janeiro, R. Rodolpho Paulo Rocco, n. 325, 1st floor, Cidade Universitária, Rio de Janeiro, RJ, Brazil. alcides_almeida@hotmail.com.
Head and neck pathology
|June 19, 2024
概括
尿性口腔炎是一种经常被医疗保健专业人员忽视的疾病,在患有慢性病的患者中呈现为口腔病变. 早期识别和治疗,如血液透析,可以改善患者的结果.
科学领域:
- 口腔医学是指口腔医学.
- 腎臟病學 (nephrology) 是一種醫學.
- 皮肤病理学 皮肤病理学
背景情况:
- 尿路性口腔炎是慢性病 (CKD) 的罕见口腔表现,经常被诊断不足.
- 本研究详细介绍了五个新病例,并审查了现有文献,以更好地了解其临床病理特征和管理.
- 识别尿性口腔炎可能有助于识别未诊断的CKD.
研究的目的:
- 分析尿性口腔炎的人口统计学,临床和组织病理学特征.
- 评估管理策略的有效性,特别是血液透析.
- 突出早期诊断在潜在的CKD患者的重要性.
主要方法:
- 对来自巴西,阿根廷,委内瑞拉和墨西哥的五名患者的病例系列分析.
- 对37项涉及52个先前报告的病例的研究进行了系统的文献审查.
- 临床和组织病理学检查口腔病变和患者血尿素水平.
主要成果:
- 这五个新病例包括三名男性和两名女性 (平均年龄为40.2岁),呈现出白色斑块,主要是在舌头上.
- 组织病理学显示了上皮细胞的变化,如阿坎托斯和帕拉基拉托斯与气球化细胞.
- 在综合系列 (57例),口腔病变在53.3%的患者中通过血液透析得到缓解,目前病例系列的缓解率更高 (75%).
结论:
- 尿路性口腔炎是慢性脏病患者的重要口腔发现.
- 及时识别和管理,包括血液透析,可以导致病变的解决.
- 提高医疗保健专业人员的意识对于早期诊断和改善未诊断的CKD患者的治疗结果至关重要.
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