Oral involvement in a case of AA amyloidosis: a case report
Identifieur interne : 002F16 ( Ncbi/Merge ); précédent : 002F15; suivant : 002F17Oral involvement in a case of AA amyloidosis: a case report
Auteurs : M Nanç Cengiz [Turquie] ; Hom-Lay Wang [États-Unis] ; Levent Y Ld Z [Turquie]Source :
- Journal of Medical Case Reports [ 1752-1947 ] ; 2010.
Abstract
Deposition of amyloid fibrils derived from circulating acute-phase reactant serum amyloid A protein causes systemic amyloidosis, a serious inflammatory disorder. We document a male patient who developed reactive amyloidosis (AA type), most likely secondary to his long standing periodontitis.
A 67-year-old Turkish man complained of pain in his oral cavity (burning mouth) especially on the tongue, and had difficulty chewing and swallowing foods. A careful dental/periodontal examination was performed, including assessment of plaque, gingival condition and periodontal probing depths on all his remaining teeth. Prosthetic rehabilitation was provided three months after the completion of his periodontal and surgical therapy. The concentration of serum inflammatory markers including erythrocyte sedimentation rate, white blood cell count, fibrinogen and high sensitive C-reactive protein were measured at baseline, at the second and sixth weeks, and at three and six months after the periodontal and surgical therapy.
Oral examination revealed a few papules on the dorsum of the tongue with two slightly painful, small ulcers, localized on the vestibule of the mouth. The mean probing depth was 9.10 ± 0.84 mm. Biopsies of the tongue, buccal mucosa and retromolar trigone were performed and amyloid deposits were found. The serum inflammatory markers improved more dramatically at the second week of periodontal therapy than any other time intervals.
Amyloidosis may manifest as periodontal destruction that leads to severe chronic periodontitis. Proper periodontal treatment may alleviate systemic inflammatory mediators caused by the amyloidosis.
Url:
DOI: 10.1186/1752-1947-4-200
PubMed: 20591157
PubMed Central: 2911467
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We document a male patient who developed reactive amyloidosis (AA type), most likely secondary to his long standing periodontitis.</p></sec><sec><title>Case presentation</title><p>A 67-year-old Turkish man complained of pain in his oral cavity (burning mouth) especially on the tongue, and had difficulty chewing and swallowing foods. A careful dental/periodontal examination was performed, including assessment of plaque, gingival condition and periodontal probing depths on all his remaining teeth. Prosthetic rehabilitation was provided three months after the completion of his periodontal and surgical therapy. The concentration of serum inflammatory markers including erythrocyte sedimentation rate, white blood cell count, fibrinogen and high sensitive C-reactive protein were measured at baseline, at the second and sixth weeks, and at three and six months after the periodontal and surgical therapy.</p></sec><sec><title>Conclusions</title><p>Oral examination revealed a few papules on the dorsum of the tongue with two slightly painful, small ulcers, localized on the vestibule of the mouth. The mean probing depth was 9.10 ± 0.84 mm. Biopsies of the tongue, buccal mucosa and retromolar trigone were performed and amyloid deposits were found. The serum inflammatory markers improved more dramatically at the second week of periodontal therapy than any other time intervals.</p><p>Amyloidosis may manifest as periodontal destruction that leads to severe chronic periodontitis. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Med Case Reports</journal-id><journal-title-group><journal-title>Journal of Medical Case Reports</journal-title></journal-title-group><issn pub-type="epub">1752-1947</issn><publisher><publisher-name>BioMed Central</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">20591157</article-id><article-id pub-id-type="pmc">2911467</article-id><article-id pub-id-type="publisher-id">1752-1947-4-200</article-id><article-id pub-id-type="doi">10.1186/1752-1947-4-200</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Oral involvement in a case of AA amyloidosis: a case report</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Cengiz</surname><given-names>M İnanç</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>dtinanc@mynet.com</email></contrib><contrib contrib-type="author" id="A2"><name><surname>Wang</surname><given-names>Hom-Lay</given-names></name><xref ref-type="aff" rid="I2">2</xref><email>homlay@umich.edu</email></contrib><contrib contrib-type="author" id="A3"><name><surname>Yıldız</surname><given-names>Levent</given-names></name><xref ref-type="aff" rid="I3">3</xref><email>eventy@omu.edu.tr</email></contrib></contrib-group><aff id="I1"><label>1</label>Zonguldak Karaelmas University, Faculty of Dentistry, Department of Periodontology, Kozlu, Zonguldak 67600, Turkey</aff><aff id="I2"><label>2</label>Department of Periodontics & Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, Michigan, USA</aff><aff id="I3"><label>3</label>Ondokuz Mayıs University, Faculty of Medicine, Department of Pathology, Kurupelit, Samsun, 55210, Turkey</aff><pub-date pub-type="collection"><year>2010</year></pub-date><pub-date pub-type="epub"><day>30</day><month>6</month><year>2010</year></pub-date><volume>4</volume><fpage>200</fpage><lpage>200</lpage><history><date date-type="received"><day>1</day><month>2</month><year>2010</year></date><date date-type="accepted"><day>30</day><month>6</month><year>2010</year></date></history><permissions><copyright-statement>Copyright ©2010 Cengiz et al; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2010</copyright-year><copyright-holder>Cengiz et al; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><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/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><self-uri xlink:href="http://www.jmedicalcasereports.com/content/4/1/200"></self-uri><abstract><sec><title>Introduction</title><p>Deposition of amyloid fibrils derived from circulating acute-phase reactant serum amyloid A protein causes systemic amyloidosis, a serious inflammatory disorder. We document a male patient who developed reactive amyloidosis (AA type), most likely secondary to his long standing periodontitis.</p></sec><sec><title>Case presentation</title><p>A 67-year-old Turkish man complained of pain in his oral cavity (burning mouth) especially on the tongue, and had difficulty chewing and swallowing foods. A careful dental/periodontal examination was performed, including assessment of plaque, gingival condition and periodontal probing depths on all his remaining teeth. Prosthetic rehabilitation was provided three months after the completion of his periodontal and surgical therapy. The concentration of serum inflammatory markers including erythrocyte sedimentation rate, white blood cell count, fibrinogen and high sensitive C-reactive protein were measured at baseline, at the second and sixth weeks, and at three and six months after the periodontal and surgical therapy.</p></sec><sec><title>Conclusions</title><p>Oral examination revealed a few papules on the dorsum of the tongue with two slightly painful, small ulcers, localized on the vestibule of the mouth. The mean probing depth was 9.10 ± 0.84 mm. Biopsies of the tongue, buccal mucosa and retromolar trigone were performed and amyloid deposits were found. The serum inflammatory markers improved more dramatically at the second week of periodontal therapy than any other time intervals.</p><p>Amyloidosis may manifest as periodontal destruction that leads to severe chronic periodontitis. Proper periodontal treatment may alleviate systemic inflammatory mediators caused by the amyloidosis.</p></sec></abstract></article-meta></front></pmc><affiliations><list><country><li>Turquie</li><li>États-Unis</li></country><region><li>Michigan</li></region></list><tree><country name="Turquie"><noRegion><name sortKey="Cengiz, M Nanc" sort="Cengiz, M Nanc" uniqKey="Cengiz M" first="M Nanç" last="Cengiz">M Nanç Cengiz</name></noRegion><name sortKey="Y Ld Z, Levent" sort="Y Ld Z, Levent" uniqKey="Y Ld Z L" first="Levent" last="Y Ld Z">Levent Y Ld Z</name></country><country name="États-Unis"><region name="Michigan"><name sortKey="Wang, Hom Lay" sort="Wang, Hom Lay" uniqKey="Wang H" first="Hom-Lay" last="Wang">Hom-Lay Wang</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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