Characteristics of Oral Abnormalities in Liver Transplant Candidates
Identifieur interne : 000832 ( Pmc/Checkpoint ); précédent : 000831; suivant : 000833Characteristics of Oral Abnormalities in Liver Transplant Candidates
Auteurs : J. Guggenheimer ; J. M. Close ; B. Eghtesad ; C. ShaySource :
- International Journal of Organ Transplantation Medicine [ 2008-6482 ] ; 2010.
Abstract
Background: Several oral mucosal abnormalities have been reported to occur more frequently in patients with liver disease. It has, however, not been determined if these conditions are related to the disease or are manifestations of extraneous factors not associated with the liver pathology.
Objective: To identify and quantify oral abnormalities in candidates for liver transplantation, and to determine whether these conditions were correlated with the type of liver disease or were the result of other patient variables.
Methods: Oral examinations were performed on 300 candidates for liver transplantation to assess their oral health and to record the presence and types of oral mucosal pathologies. Abnormalities most frequently encountered were analyzed for significant associations with classification of liver disease, hyposalivation, diuretic therapy, edentulism, or smoking.
Results: Among these subjects, 175 (58%) had one or more abnormalities. The anomalies most frequently found were fissured tongue (37%), atrophy of the papillae of the tongue (18%), angular cheilitis (4%) and manifestations of clinical candidiasis (2%). Clinical hyposalivation was found in 28.7% of all patients and 70% of those who were on diuretic therapy. Fissured tongue and atrophy of the tongue papillae were significantly associated with hyposalivation (p<0.001); hyposalivation was correlated to diuretic therapy (p=0.028). Pathologies suggestive of candidiasis were significantly associated with hyposalivation and total edentulism.
Conclusion: Several oral mucosal abnormalities that have previously been linked with liver diseases were found to be primarily associated with diuretic-induced hyposalivation, smoking, and total edentulism.
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PubMed: 25013575
PubMed Central: 4089233
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Characteristics of Oral Abnormalities in Liver Transplant Candidates</title><author><name sortKey="Guggenheimer, J" sort="Guggenheimer, J" uniqKey="Guggenheimer J" first="J." last="Guggenheimer">J. Guggenheimer</name><affiliation><nlm:aff id="aff1"><italic>Department of Diagnostic Sciences, University of Pittsburgh School of Dental Medicine,</italic></nlm:aff></affiliation></author><author><name sortKey="Close, J M" sort="Close, J M" uniqKey="Close J" first="J. M." last="Close">J. M. Close</name><affiliation><nlm:aff id="aff2"><italic>Department of Dental Public Health and Information Management, University of Pittsburgh, School of Dental Medicine,</italic></nlm:aff></affiliation></author><author><name sortKey="Eghtesad, B" sort="Eghtesad, B" uniqKey="Eghtesad B" first="B." last="Eghtesad">B. Eghtesad</name><affiliation><nlm:aff id="aff3"><italic>Liver Transplant Center, Cleveland Clinic, Cleveland, OH, USA</italic></nlm:aff></affiliation></author><author><name sortKey="Shay, C" sort="Shay, C" uniqKey="Shay C" first="C." last="Shay">C. Shay</name><affiliation><nlm:aff id="aff3"><italic>Liver Transplant Center, Cleveland Clinic, Cleveland, OH, USA</italic></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25013575</idno><idno type="pmc">4089233</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4089233</idno><idno type="RBID">PMC:4089233</idno><date when="2010">2010</date><idno type="wicri:Area/Pmc/Corpus">000580</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000580</idno><idno type="wicri:Area/Pmc/Curation">000580</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000580</idno><idno type="wicri:Area/Pmc/Checkpoint">000832</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000832</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Characteristics of Oral Abnormalities in Liver Transplant Candidates</title><author><name sortKey="Guggenheimer, J" sort="Guggenheimer, J" uniqKey="Guggenheimer J" first="J." last="Guggenheimer">J. Guggenheimer</name><affiliation><nlm:aff id="aff1"><italic>Department of Diagnostic Sciences, University of Pittsburgh School of Dental Medicine,</italic></nlm:aff></affiliation></author><author><name sortKey="Close, J M" sort="Close, J M" uniqKey="Close J" first="J. M." last="Close">J. M. Close</name><affiliation><nlm:aff id="aff2"><italic>Department of Dental Public Health and Information Management, University of Pittsburgh, School of Dental Medicine,</italic></nlm:aff></affiliation></author><author><name sortKey="Eghtesad, B" sort="Eghtesad, B" uniqKey="Eghtesad B" first="B." last="Eghtesad">B. Eghtesad</name><affiliation><nlm:aff id="aff3"><italic>Liver Transplant Center, Cleveland Clinic, Cleveland, OH, USA</italic></nlm:aff></affiliation></author><author><name sortKey="Shay, C" sort="Shay, C" uniqKey="Shay C" first="C." last="Shay">C. Shay</name><affiliation><nlm:aff id="aff3"><italic>Liver Transplant Center, Cleveland Clinic, Cleveland, OH, USA</italic></nlm:aff></affiliation></author></analytic><series><title level="j">International Journal of Organ Transplantation Medicine</title><idno type="ISSN">2008-6482</idno><idno type="eISSN">2008-6490</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Background: Several oral mucosal abnormalities have been reported to occur more frequently in patients with liver disease. It has, however, not been determined if these conditions are related to the disease or are manifestations of extraneous factors not associated with the liver pathology. </p><p>Objective: To identify and quantify oral abnormalities in candidates for liver transplantation, and to determine whether these conditions were correlated with the type of liver disease or were the result of other patient variables.</p><p>Methods: Oral examinations were performed on 300 candidates for liver transplantation to assess their oral health and to record the presence and types of oral mucosal pathologies. Abnormalities most frequently encountered were analyzed for significant associations with classification of liver disease, hyposalivation, diuretic therapy, edentulism, or smoking.</p><p>Results: Among these subjects, 175 (58%) had one or more abnormalities. The anomalies most frequently found were fissured tongue (37%), atrophy of the papillae of the tongue (18%), angular cheilitis (4%) and manifestations of clinical candidiasis (2%). Clinical hyposalivation was found in 28.7% of all patients and 70% of those who were on diuretic therapy. Fissured tongue and atrophy of the tongue papillae were significantly associated with hyposalivation (p<0.001); hyposalivation was correlated to diuretic therapy (p=0.028). Pathologies suggestive of candidiasis were significantly associated with hyposalivation and total edentulism.</p><p>Conclusion: Several oral mucosal abnormalities that have previously been linked with liver diseases were found to be primarily associated with diuretic-induced hyposalivation, smoking, and total edentulism.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Chainani Wu, N" uniqKey="Chainani Wu N">N Chainani-Wu</name></author><author><name sortKey="Lozada Nur, F" uniqKey="Lozada Nur F">F Lozada-Nur</name></author><author><name sortKey="Terrault, N" uniqKey="Terrault N">N Terrault</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lodi, G" uniqKey="Lodi G">G Lodi</name></author><author><name sortKey="Scully, C" uniqKey="Scully C">C Scully</name></author><author><name sortKey="Carrozzo, M" uniqKey="Carrozzo M">M 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uniqKey="Abraham S">S Abraham</name></author><author><name sortKey="Begum, S" uniqKey="Begum S">S Begum</name></author><author><name sortKey="Isenberg, D" uniqKey="Isenberg D">D Isenberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Matsumoto, T" uniqKey="Matsumoto T">T Matsumoto</name></author><author><name sortKey="Morizane, T" uniqKey="Morizane T">T Morizane</name></author><author><name sortKey="Aoki, Y" uniqKey="Aoki Y">Y Aoki</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Golla, K" uniqKey="Golla K">K Golla</name></author><author><name sortKey="Epstein, Jb" uniqKey="Epstein J">JB Epstein</name></author><author><name sortKey="Cabay, Rj" uniqKey="Cabay R">RJ Cabay</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Diaz Ortiz, Ml" uniqKey="Diaz Ortiz M">ML Diaz-Ortiz</name></author><author><name sortKey="Mico Llorens, Jm" uniqKey="Mico Llorens J">JM Mico-Llorens</name></author><author><name sortKey="Gargallo Albiol, J" uniqKey="Gargallo Albiol J">J Gargallo-Albiol</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Guggenheimer, J" uniqKey="Guggenheimer J">J Guggenheimer</name></author><author><name sortKey="Eghtesad, B" uniqKey="Eghtesad B">B Eghtesad</name></author><author><name sortKey="Close, Jm" uniqKey="Close J">JM Close</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Guggenheimer, J" uniqKey="Guggenheimer J">J Guggenheimer</name></author><author><name sortKey="Moore, Pa" uniqKey="Moore P">PA Moore</name></author><author><name sortKey="Rossie, K" uniqKey="Rossie K">K Rossie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fox, Pc" uniqKey="Fox P">PC Fox</name></author><author><name sortKey="Busch, Ka" uniqKey="Busch K">KA Busch</name></author><author><name sortKey="Baum, Bj" uniqKey="Baum B">BJ 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Organ Transplant Med</journal-id><journal-id journal-id-type="iso-abbrev">Int J Organ Transplant Med</journal-id><journal-id journal-id-type="publisher-id">Ijotm</journal-id><journal-title-group><journal-title>International Journal of Organ Transplantation Medicine</journal-title></journal-title-group><issn pub-type="ppub">2008-6482</issn><issn pub-type="epub">2008-6490</issn><publisher><publisher-name>Avicenna Organ Transplantation Institute</publisher-name><publisher-loc>Shiraz, Iran</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25013575</article-id><article-id pub-id-type="pmc">4089233</article-id><article-id pub-id-type="publisher-id">ijotm-1-107</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Characteristics of Oral Abnormalities in Liver Transplant Candidates</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Guggenheimer</surname><given-names>J.</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Close</surname><given-names>J. M.</given-names></name><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Eghtesad</surname><given-names>B.</given-names></name><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Shay</surname><given-names>C.</given-names></name><xref ref-type="aff" rid="aff3">3</xref></contrib></contrib-group><aff id="aff1"><label>1</label><italic>Department of Diagnostic Sciences, University of Pittsburgh School of Dental Medicine,</italic></aff><aff id="aff2"><label>2</label><italic>Department of Dental Public Health and Information Management, University of Pittsburgh, School of Dental Medicine,</italic></aff><aff id="aff3"><label>3</label><italic>Liver Transplant Center, Cleveland Clinic, Cleveland, OH, USA</italic></aff><author-notes><corresp id="cor1"><label>*</label>Correspondence: James Guggenheimer, DDS, Depart-ment of Diagnostic Sciences, G-137 Salk, University of Pittsburgh School of Dental Medicine, 3501 Terrace Street, Pittsburgh, Pennsylvania 15261, USA
Phone: +1-412-648-8627
Fax: +1-412-383-9142.
E-mail:<email>guggen@pitt.edu
</email></corresp></author-notes><pub-date pub-type="ppub"><year>2010</year></pub-date><pub-date pub-type="epub"><day>1</day><month>8</month><year>2010</year></pub-date><volume>1</volume><issue>3</issue><fpage>107</fpage><lpage>113</lpage><permissions><license><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/3.0/">http://creativecommons.org/licenses/by/3.0/</ext-link>) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Background: Several oral mucosal abnormalities have been reported to occur more frequently in patients with liver disease. It has, however, not been determined if these conditions are related to the disease or are manifestations of extraneous factors not associated with the liver pathology. </p><p>Objective: To identify and quantify oral abnormalities in candidates for liver transplantation, and to determine whether these conditions were correlated with the type of liver disease or were the result of other patient variables.</p><p>Methods: Oral examinations were performed on 300 candidates for liver transplantation to assess their oral health and to record the presence and types of oral mucosal pathologies. Abnormalities most frequently encountered were analyzed for significant associations with classification of liver disease, hyposalivation, diuretic therapy, edentulism, or smoking.</p><p>Results: Among these subjects, 175 (58%) had one or more abnormalities. The anomalies most frequently found were fissured tongue (37%), atrophy of the papillae of the tongue (18%), angular cheilitis (4%) and manifestations of clinical candidiasis (2%). Clinical hyposalivation was found in 28.7% of all patients and 70% of those who were on diuretic therapy. Fissured tongue and atrophy of the tongue papillae were significantly associated with hyposalivation (p<0.001); hyposalivation was correlated to diuretic therapy (p=0.028). Pathologies suggestive of candidiasis were significantly associated with hyposalivation and total edentulism.</p><p>Conclusion: Several oral mucosal abnormalities that have previously been linked with liver diseases were found to be primarily associated with diuretic-induced hyposalivation, smoking, and total edentulism.</p></abstract><kwd-group><title>Key Words</title><kwd>Liver diseases</kwd><kwd>Mouth mucosa</kwd><kwd>Oral pathology</kwd><kwd>Xerostomia</kwd><kwd>Candidiasis</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Close, J M" sort="Close, J M" uniqKey="Close J" first="J. M." last="Close">J. M. Close</name><name sortKey="Eghtesad, B" sort="Eghtesad, B" uniqKey="Eghtesad B" first="B." last="Eghtesad">B. Eghtesad</name><name sortKey="Guggenheimer, J" sort="Guggenheimer, J" uniqKey="Guggenheimer J" first="J." last="Guggenheimer">J. Guggenheimer</name><name sortKey="Shay, C" sort="Shay, C" uniqKey="Shay C" first="C." last="Shay">C. Shay</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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