Preliminary Clinical Study of Initial Screening Blood Test Data onOutpatients with Burning Mouth Syndrome

H. Yoshida, Shoichi Yamamoto, Takumi Matsushita, T. Shibuya, Kazuya Takahashi, K. Baba, Y. Komasa, T. Ohkubo, K. Kakudo, S. Morita
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Abstract

Study background: The objective of study is a survey to report the prevalence of burning mouth syndrome (BMS) and to evaluated the co-morbidities associated to BMS. Subjects and Methods: A total 393 patients (54 males and 339 females; mean age 67 years; age range 27-102) were selected for this study. We carried out initial screening blood tests to these patients. Furthermore, we examined if there were previous and/or present systemic diseases and regularly taken medication by medical interview. Results: Female patients over 50 years old accounted for 89.3% (351/393). Dry mouth (330/393: 84.0%) was the most concomitant symptom with BMS. The ratio of abnormal measurements of iron was 35.9% (141/393). Zinc was 12.2% (48/393). However, the higher outrange ratio of MCV was 39.9% (157/393) and the lower outrange ratio of MCV was 8.7% (34/393). The higher outrange ratio of MCH was 36.6% (144/393) and the lower outrange ratio of MCH was 6.4% (25/393). The highest ratio of systematic disease of hypertension was 34.6% (136/393). Conclusions: We suspected that pernicious anemia may be most important factor of the BMS. Many patients had a number of systemic diseases and were taking several kinds of medicine. BMS is very complex disease, so it needs that more detailed investigation of systematic disease and habitual drug-taking is also needed.
门诊灼口综合征患者初步筛查血检资料的初步临床研究
研究背景:研究目的是调查报告灼口综合征(BMS)的患病率,并评估与BMS相关的合并症。对象和方法:共393例患者(男性54例,女性339例;平均年龄67岁;年龄范围为27-102岁)。我们对这些患者进行了初步的血液检查。此外,我们通过医学访谈检查是否有既往和/或现在的全身性疾病,并定期服用药物。结果:50岁以上女性患者占89.3%(351/393)。口干(330/393:84.0%)是BMS最常见的伴随症状。铁异常检出率为35.9%(141/393)。锌为12.2%(48/393)。而MCV的高外距比为39.9%(157/393),低外距比为8.7%(34/393)。MCH的高外距比为36.6%(144/393),低外距比为6.4%(25/393)。高血压全身性疾病的比例最高,为34.6%(136/393)。结论:我们怀疑恶性贫血可能是BMS的最重要因素。许多病人患有多种全身性疾病,服用多种药物。BMS是一种非常复杂的疾病,因此需要对系统性疾病和习惯性用药进行更详细的调查。
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