Dimorphous lesions in oral cavity
Autor(a) principal: | |
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Data de Publicação: | 2003 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Hansenologia Internationalis (Online) |
Texto Completo: | https://periodicos.saude.sp.gov.br/hansenologia/article/view/36394 |
Resumo: | All leprosy forms may present oral mucosa lesions except for the indeterminate form. Those manifestations are rarely described in the literature, and when so, they refer to the lepromatous form of the disease. It is common to find a specific infiltrate with bacilli in biopsies of the palate oflepromatous patients, even in the absence of evident clinical manifestation. Oral lesions are located on hard and smooth palate, pillar and tongue; the cheek mucosa and gums are free of lesions. In tuberculoid and borderline forms with chronic evolution there are no oral mucosa lesions and there are rare reactional cases described with histological lesions without clinical evidences, and there are even more rare cases with clinical oral lesions that do not resemble cutaneous lesions. The author present a patient with borderline reactional leprosy with an erythematous plaque on the hard palate extensive to the soft palate, identical to the lesion in the trunk and limbs. According to the authors lesions result from ematogenic dissemination and they believe that even finding a certain amount of bacilli, this may not pose a risk of contamination because of the limited duration of the reactional episodes. The authors also believe there may be higher numbers of reactional patients with oral lesions because oral mucosa examination is rarely performed, even in lepromatous patients. |
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Hansenologia Internationalis (Online) |
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Dimorphous lesions in oral cavityLesões Dimorfas na Cavidade OralReação tipo 1hanseníase dimorfalesões oraisType 1 reactionborderline leprosyoral lesionsAll leprosy forms may present oral mucosa lesions except for the indeterminate form. Those manifestations are rarely described in the literature, and when so, they refer to the lepromatous form of the disease. It is common to find a specific infiltrate with bacilli in biopsies of the palate oflepromatous patients, even in the absence of evident clinical manifestation. Oral lesions are located on hard and smooth palate, pillar and tongue; the cheek mucosa and gums are free of lesions. In tuberculoid and borderline forms with chronic evolution there are no oral mucosa lesions and there are rare reactional cases described with histological lesions without clinical evidences, and there are even more rare cases with clinical oral lesions that do not resemble cutaneous lesions. The author present a patient with borderline reactional leprosy with an erythematous plaque on the hard palate extensive to the soft palate, identical to the lesion in the trunk and limbs. According to the authors lesions result from ematogenic dissemination and they believe that even finding a certain amount of bacilli, this may not pose a risk of contamination because of the limited duration of the reactional episodes. The authors also believe there may be higher numbers of reactional patients with oral lesions because oral mucosa examination is rarely performed, even in lepromatous patients.Com exceção da hanseníase indeterminada, todas as outras formas dessa doença podem apresentar lesões orais. Nos tuberculoides e dimorfos essas manifestações tem sido descritas exclusivamente nas formas reacionais. Elas são muito mais freqüentes em indivíduos virchovianos e muitas vezes são clinicamente inaparentes, sendo evidenciadas apenas quando são realizadas biópsias nessa região. Não há na literatura muitas publicações referentes a esse tema, e as lesões clínicas orais tuberculoides e dimorfas são descritas raramente e na maior parte das vezes elas não são muito bem caracterizadas. Neste trabalho estamos apresentando um paciente portador de hanseníase dimorfa com reação tipo 1 (dimorfo reacional) com lesão bem nítida na região do pálato.Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo2003-11-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/3639410.47878/hi.2003.v28.36394Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 28 No. 2 (2003); 151-155Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 28 n. 2 (2003); 151-1551982-5161reponame:Hansenologia Internationalis (Online)instname:Instituto Lauro de Souza Lima (ILSL)instacron:ILSLporhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/36394/34667https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessOpromolla, Diltor Vladimir AraújoOpromolla, Marcelo AraújoUra, Somei2023-09-01T13:09:05Zoai:ojs.periodicos.saude.sp.gov.br:article/36394Revistahttps://periodicos.saude.sp.gov.br/hansenologiaPRIhttps://periodicos.saude.sp.gov.br/hansenologia/oaihansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br1982-51610100-3283opendoar:2023-09-01T13:09:05Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL)false |
dc.title.none.fl_str_mv |
Dimorphous lesions in oral cavity Lesões Dimorfas na Cavidade Oral |
title |
Dimorphous lesions in oral cavity |
spellingShingle |
Dimorphous lesions in oral cavity Opromolla, Diltor Vladimir Araújo Reação tipo 1 hanseníase dimorfa lesões orais Type 1 reaction borderline leprosy oral lesions |
title_short |
Dimorphous lesions in oral cavity |
title_full |
Dimorphous lesions in oral cavity |
title_fullStr |
Dimorphous lesions in oral cavity |
title_full_unstemmed |
Dimorphous lesions in oral cavity |
title_sort |
Dimorphous lesions in oral cavity |
author |
Opromolla, Diltor Vladimir Araújo |
author_facet |
Opromolla, Diltor Vladimir Araújo Opromolla, Marcelo Araújo Ura, Somei |
author_role |
author |
author2 |
Opromolla, Marcelo Araújo Ura, Somei |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Opromolla, Diltor Vladimir Araújo Opromolla, Marcelo Araújo Ura, Somei |
dc.subject.por.fl_str_mv |
Reação tipo 1 hanseníase dimorfa lesões orais Type 1 reaction borderline leprosy oral lesions |
topic |
Reação tipo 1 hanseníase dimorfa lesões orais Type 1 reaction borderline leprosy oral lesions |
description |
All leprosy forms may present oral mucosa lesions except for the indeterminate form. Those manifestations are rarely described in the literature, and when so, they refer to the lepromatous form of the disease. It is common to find a specific infiltrate with bacilli in biopsies of the palate oflepromatous patients, even in the absence of evident clinical manifestation. Oral lesions are located on hard and smooth palate, pillar and tongue; the cheek mucosa and gums are free of lesions. In tuberculoid and borderline forms with chronic evolution there are no oral mucosa lesions and there are rare reactional cases described with histological lesions without clinical evidences, and there are even more rare cases with clinical oral lesions that do not resemble cutaneous lesions. The author present a patient with borderline reactional leprosy with an erythematous plaque on the hard palate extensive to the soft palate, identical to the lesion in the trunk and limbs. According to the authors lesions result from ematogenic dissemination and they believe that even finding a certain amount of bacilli, this may not pose a risk of contamination because of the limited duration of the reactional episodes. The authors also believe there may be higher numbers of reactional patients with oral lesions because oral mucosa examination is rarely performed, even in lepromatous patients. |
publishDate |
2003 |
dc.date.none.fl_str_mv |
2003-11-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/36394 10.47878/hi.2003.v28.36394 |
url |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/36394 |
identifier_str_mv |
10.47878/hi.2003.v28.36394 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/36394/34667 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo |
publisher.none.fl_str_mv |
Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo |
dc.source.none.fl_str_mv |
Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 28 No. 2 (2003); 151-155 Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 28 n. 2 (2003); 151-155 1982-5161 reponame:Hansenologia Internationalis (Online) instname:Instituto Lauro de Souza Lima (ILSL) instacron:ILSL |
instname_str |
Instituto Lauro de Souza Lima (ILSL) |
instacron_str |
ILSL |
institution |
ILSL |
reponame_str |
Hansenologia Internationalis (Online) |
collection |
Hansenologia Internationalis (Online) |
repository.name.fl_str_mv |
Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL) |
repository.mail.fl_str_mv |
hansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br |
_version_ |
1796797581361152000 |