黑色毛的舌头观察在食道胃管透镜期间
Masaya Iwamuro1, Takehiro Tanaka2, Motoyuki Otsuka1
1Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, JPN.
Cureus
|December 25, 2024
概括
黑色毛发的舌头,一种良性口腔疾病,可以在内镜检查期间确定. 这一案例突出了糖尿病吸烟者的诊断,强调了食道胃管透镜的作用.
科学领域:
- 口腔医学是指口腔医学.
- 胃肠病学 胃肠病学
- 皮肤病学 皮肤病学
背景情况:
- 黑色毛的舌头 (lingua villosa nigra) 呈现为一个黑暗的,黑色的舌头.
- 有毛的,毛的
- 舌头由于长长的乳头,与吸烟,不良卫生和糖尿病有关.
- 它通常通过视觉诊断,但在内镜检查中很少被发现.
- 风险因素促进微生物殖民,包括Candida物种.
研究的目的:
- 报告一例在食道胃二透镜检查期间诊断出黑色毛的舌头.
- 为了突出内镜和组织病理学对这种疾病的诊断实用性.
- 强调在患有易感因素的患者中早期识别.
主要方法:
- 一个69岁的男性患有2型糖尿病和吸烟史的病例报告.
- 诊断在例行食道胃二透镜检查中得到证实.
- 涉及到背部舌头损伤的详细成像和活检.
主要成果:
- 在食管胃二透镜检查过程中检测到背面舌头上的黑色病变.
- 活检揭示了长长的乳头与真菌菌,证实了 kandidasis.
- 这些发现代表了患有显著风险因素的患者的黑色毛发舌头.
结论:
- 消化管胃管腺镜可以检测到黑色毛发的舌头.
- 组织病理学检查对于准确的诊断和区分至关重要.
- 在内镜检查期间识别黑色毛的舌头有助于在危险患者中迅速诊断.
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