重症尿毒症口腔炎的诊断和治疗：具有多种临床特征的病例报告。

IF 2.2 3区医学 Q2 Dentistry

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2024-10-18 DOI:10.1016/j.jormas.2024.102119

Marcela Andrade Ivanoski, Juliana Glaser Boal, Allan Fernando Giovanini, Antônio Adilson Soares de Lima, Melissa Rodrigues de Araujo

{"title":"重症尿毒症口腔炎的诊断和治疗：具有多种临床特征的病例报告。","authors":"Marcela Andrade Ivanoski, Juliana Glaser Boal, Allan Fernando Giovanini, Antônio Adilson Soares de Lima, Melissa Rodrigues de Araujo","doi":"10.1016/j.jormas.2024.102119","DOIUrl":null,"url":null,"abstract":"Uremic stomatitis is an underreported disease that occurs in the oral mucosa, associated with high levels of blood urea in patients with chronic kidney disease. This case report describes a 36-year-old male patient with severe and multiple oral manifestations of uremic disease. Intraoral examination revealed ulceration, atrophic and hemorrhagic areas were seen on the ventral surface of the tongue, floor of the mouth, and buccal mucosa. The treatment included hemodialysis, analgesics, and mouthwashes. After 10 days of treatment and seven hemodialysis sessions, the oral lesions were significantly better. Considering that the manifestations presented are commonly painful and debilitating for the patient early diagnosis and a treatment that comprises oral measures and kidney disease control are mandatory.","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102119"},"PeriodicalIF":2.2000,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Diagnosis and management of a severe uremic stomatitis: Case report of multiple clinical features.\",\"authors\":\"Marcela Andrade Ivanoski, Juliana Glaser Boal, Allan Fernando Giovanini, Antônio Adilson Soares de Lima, Melissa Rodrigues de Araujo\",\"doi\":\"10.1016/j.jormas.2024.102119\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Uremic stomatitis is an underreported disease that occurs in the oral mucosa, associated with high levels of blood urea in patients with chronic kidney disease. This case report describes a 36-year-old male patient with severe and multiple oral manifestations of uremic disease. Intraoral examination revealed ulceration, atrophic and hemorrhagic areas were seen on the ventral surface of the tongue, floor of the mouth, and buccal mucosa. The treatment included hemodialysis, analgesics, and mouthwashes. After 10 days of treatment and seven hemodialysis sessions, the oral lesions were significantly better. Considering that the manifestations presented are commonly painful and debilitating for the patient early diagnosis and a treatment that comprises oral measures and kidney disease control are mandatory.\",\"PeriodicalId\":56038,\"journal\":{\"name\":\"Journal of Stomatology Oral and Maxillofacial Surgery\",\"volume\":\" \",\"pages\":\"102119\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2024-10-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Stomatology Oral and Maxillofacial Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jormas.2024.102119\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Dentistry\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Stomatology Oral and Maxillofacial Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jormas.2024.102119","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Dentistry","Score":null,"Total":0}

引用次数: 0

摘要

尿毒症性口腔炎是一种发生在口腔黏膜的低报疾病，与慢性肾病患者的高血尿素水平有关。本病例报告描述了一名 36 岁男性患者的严重多发性尿毒症口腔表现。口腔内部检查发现，舌腹面、口底和颊粘膜出现溃疡、萎缩和出血区域。治疗包括血液透析、止痛药和漱口水。经过 10 天的治疗和 7 次血液透析后，口腔病变明显好转。考虑到这些表现通常会给患者带来痛苦并使其体力下降，因此必须及早诊断并采取包括口腔措施和肾病控制在内的治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Diagnosis and management of a severe uremic stomatitis: Case report of multiple clinical features.

Uremic stomatitis is an underreported disease that occurs in the oral mucosa, associated with high levels of blood urea in patients with chronic kidney disease. This case report describes a 36-year-old male patient with severe and multiple oral manifestations of uremic disease. Intraoral examination revealed ulceration, atrophic and hemorrhagic areas were seen on the ventral surface of the tongue, floor of the mouth, and buccal mucosa. The treatment included hemodialysis, analgesics, and mouthwashes. After 10 days of treatment and seven hemodialysis sessions, the oral lesions were significantly better. Considering that the manifestations presented are commonly painful and debilitating for the patient early diagnosis and a treatment that comprises oral measures and kidney disease control are mandatory.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Stomatology Oral and Maxillofacial Surgery Dentistry-Oral Surgery

CiteScore

2.20

自引率

9.10%

发文量

305

期刊介绍： J Stomatol Oral Maxillofac Surg publishes research papers and techniques - (guest) editorials, original articles, reviews, technical notes, case reports, images, letters to the editor, guidelines - dedicated to enhancing surgical expertise in all fields relevant to oral and maxillofacial surgery: from plastic and reconstructive surgery of the face, oral surgery and medicine, … to dentofacial and maxillofacial orthopedics. Original articles include clinical or laboratory investigations and clinical or equipment reports. Reviews include narrative reviews, systematic reviews and meta-analyses. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. The journal is indexed in the main international databases and is accessible worldwide through the ScienceDirect and ClinicalKey Platforms.