Noninvasive Techniques for Management of Erythema Multiforme
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Tipo de produção
article
Data de publicação
2023
Título da Revista
ISSN da Revista
Título do Volume
Editora
HINDAWI LTD
Autores
MARTINS, Fabiana
PALLOS, Debora
CANDEIA, Jodkandlys
CAMPOS, Luana
Citação
CASE REPORTS IN DENTISTRY, v.2023, article ID 9938939, 4p, 2023
Resumo
An 18-year-old man was referred for a diagnosis of extensive oral lesions. During the interview, he reported a medical history of ganglionic tuberculosis, type 2 herpes infection, and significant weight loss due to dysphagia. Intraoral exam revealed multiple painful and ulcerated lesions covered by pseudomembrane. Lesions were observed on the labial and buccal mucosa, tongue, and soft palate. The laboratory findings included serum positivity for the Epstein-Barr virus, and salivary tests showed positive values for herpes simplex virus (HSV-2) and human herpesvirus (HHV-7). The diagnostic hypothesis was based on clinical findings and viral infection detected in the saliva, which triggered an immunological disorder, that is, erythema multiforme (EM). The treatment consisted of antimicrobial photodynamic therapy (aPDT), with substantial improvement in pain and healing as seen in the following twenty-four hours. Complete resolution of the lesions was achieved five days after the first session. Once the diagnosis of virus-induced EM was confirmed, noninvasive techniques (e.g., salivary tests and aPDT) were very successful and can be indicated for managing these lesions.
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Referências
- Al-Johani KA, 2007, ORAL SURG ORAL MED O, V103, P642, DOI 10.1016/j.tripleo.2006.12.008
- Barea-Jiménez N, 2020, INT J PAEDIATR DENT, V30, P489, DOI 10.1111/ipd.12615
- Ramires MCCH, 2021, PHOTODIAGN PHOTODYN, V33, DOI 10.1016/j.pdpdt.2021.102196
- Campos L, 2020, PHOTODIAGN PHOTODYN, V30, DOI 10.1016/j.pdpdt.2020.101776
- Castillo B., 2018, The 5-Minute Pediatric Consult, P878
- Chow RT, 2007, J PERIPHER NERV SYST, V12, P28, DOI 10.1111/j.1529-8027.2007.00114.x
- Sarmento DJD, 2018, CLIN ORAL INVEST, V22, P885, DOI 10.1007/s00784-017-2166-3
- Dompe C, 2020, J CLIN MED, V9, DOI 10.3390/jcm9061724
- Eduardo CD, 2014, LASER MED SCI, V29, P1517, DOI 10.1007/s10103-013-1311-8
- Farthing P, 2005, ORAL DIS, V11, P261, DOI 10.1111/j.1601-0825.2005.01141.x
- Karu T. I., 1988, Lasers in the Life Sciences, V2, P53
- Kohli PS, 2011, INDIAN J OTOLARYNGOL, V63, pS9, DOI 10.1007/s12070-011-0169-y
- Kutlu Ö, 2022, FUTURE VIROL, V17, P845, DOI 10.2217/fvl-2021-0357
- La Selva A, 2020, MEDICINE, V99, DOI 10.1097/MD.0000000000019500
- Monjo ALA, 2018, VIRUSES-BASEL, V10, DOI 10.3390/v10100532
- Nair HKR, 2023, INT J LOW EXTR WOUND, V22, P278, DOI 10.1177/15347346211004186
- Schleder J. C., 2021, Revista Medica de Minas Gerais, V31, pE0032
- Simoes A, 2009, SPEC CARE DENT, V29, P134, DOI 10.1111/j.1754-4505.2009.00078.x
- Soares A, 2021, MEDICINA-LITHUANIA, V57, DOI 10.3390/medicina57090921
- Woo SB, 2013, NEW ENGL J MED, V369, P265, DOI 10.1056/NEJMcpc1209275