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- Title
Granuloma piógeno lingual en paciente con síndrome de Sjögren y manifestaciones de boca ardorosa.
- Authors
González-Díaz, Iván; Chávez-Caballero, Arturo de Jesús
- Abstract
Introduction: The pyogenic granuloma is a benign tumor, with a reactive behavior that responds to an irritable stimulation. Poor oral hygiene is the most frequent factor. Clinically it represents an exophytic wound that bleeds easily, average 2.5 cm, asymptomatic, frequently ulcerated, its color ranges from pink to violet depending on its evolution. Histopathologicaly it presents high vascular proliferation, numerus red cell and endothelial canals, polymorphs and chronic inflammation. The extragingival granulomas represent only 16%, the tongue is affected in 4-6.4%. The Sjögren syndrome is an autoimmune pathology where the B cells infiltrate the exocrine glands (salivary and lacrimal) injuring the acinar cells. Its clinical manifestations are xerostomia, xerophthalmia, cervical cavities and candidiasis. Burning mouth syndrome is defined as the presence of pain for 4 to 6 months without the clinical presence of any specific pathology. Clinical case: A 74-year-old female patient with a history of diabetes mellitus II, high blood pressure and rheumatoid arthritis. She refers the appearance of a lesion on the lateral edge of the tongue with a two-month evolution, burning of the oral mucosa and eye irritation. Showing ulcerative lesion on the lingual lateral border of 25 mm. Discussion: Gingival presentation over passes by frequency to its extragingival counterpart, probably due to the ease accumulation of bacterial plaque and tartar, our clinical case is out of the ordinary because it is located on the lingual lateral border, location affected only between 4 and 6%. Conclusions: The first step in a treatment is to recognize the etiological factor, which can be multiple.
- Publication
Revista ADM, 2022, Vol 79, Issue 2, p109
- ISSN
0001-0944
- Publication type
Article
- DOI
10.35366/104747