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Maksillofasiyal Belirtileriyle Sistemik Sklerozis: Olgu Sunumu

Year 2018, Volume: 4 Issue: 3, 298 - 300, 01.01.2018

Abstract

Sistemik sklerozis nadir görülen otoimmün inflamatuvar bir hastalıktır. Sistemik skleroziste ana bulgu cildin kalınlaşması ve gerilmiş olmasıdır. Deri bulgularının yanı sıra akciğerler, böbrekler, kalp ve sindirim sistemi gibi vücudun birçok yerinde inflamasyon ve skar gelişimi izlenir. Bununla birlikte sistemik skleroz; ciltte sertleşme, ince çizgiler, derin kırışıklıklar, kserostomi, dilde sertlik ve mikrostomi sebebiyle oral ve fasiyal dokuları da ilgilendiren bir hastalıktır. Hastalığın oral bulguları, dokulardaki veya sinir ve damarlar etrafındaki kollajen birikiminden kaynaklanır ve tüm oral dokular etkilenir. En sık görülen oral bulgu, genişlemiş periodontal ligament alanlarıdır. Çalışmanın amacı sistemik sklerozu olan 46 yaşında erkek hastanın oral bulgularını sunmak ve tartışmaktır. Klinik ve radyolojik olarak oral ve fasiyal muayene yapıldı. Bu çalışmada yer alan hastanın oral semptomları; disfaji, periodontal problemler ve sınırlı ağız açıklığı idi. Sistemik sklerozis hastaları, diğer oral ve maksillofasiyal bulgular için yıllık panoramik radyografilerle düzenli izlem yaptırmalıdırlar

References

  • Oksel F. Skleroderma. In: Doğanavşargil D, Gümüşdiş G, eds. Klinik romatoloji el kitabı. 1st ed. İzmir: İzmir Güven Kitabevi, 2003; 281-97.
  • Jung S, Minoux M, Manière M, Martin T, Schmittbuhl M. Previously undescribed pulpal and periodontal ligament calcifications in systemic sclerosis: A case report. Oral Surg Oral Med Oral Pathol Oral Radiol 2013;115:47-51.
  • Tamby MC, Chanseaud Y, Guillevin L, Mouthon L. New insights into the pathogenesis of systemic sclerosis. Autoimmun Rev 2003;2:152-7.
  • Doucet JC, Morriso AD. Bilateral mandibular condylysis from systemic sclerosis: Case report of surgical correction with bilateral total temporomandibular joint replacement. Craniomaxillofac Trauma Reconstr 2011;4:11-8.
  • Jagadish R, Mehta DS, Jagadish P. Oral and periodontal manifestations associated with systemic sclerosis: A case series and review. Journal of Indian Society of Periodontology 2012;16: 271-4.
  • Hachulla E, Launay D. Diagnosis and classification of systemic sclerosis. Clin Rev Allergy Immunol 2011;40:78- 83.
  • Geyer M1, Müller-Ladner U. The pathogenesis of systemic sclerosis revisited. Clin Rev Allergy Immunol 2011;40:92-103.
  • Dagenais M, MacDonald D, Baron M, Hudson M, Tatibouet S, Steele R, et al. The Canadian Systemic Sclerosis Oral Health Study IV: Oral radiographic manifestations in systemic sclerosis compared with the general population. Oral Surg Oral Med Oral Pathol Oral Radiol 2015;120:104-11.
  • Anbiaee N, Tafakhori Z. Early diagnosis of progressive systemic sclerosis (scleroderma) from a panoramic view: Report of three cases. Dentomaxillofac Radiol 2011;40:457-62.
  • Bajraktari IH, Kryeziu A, Sherifi F, Bajraktari H, Lahu A, Bajraktari G. Oral manifestations of systemic sclerosis and correlation with anti-Topoisomerase I antibodies (SCL-70). Med Arch 2015;69:153-6.
  • Nagy G1, Kovács J, Zeher M, Czirják L. Analysis of the oral manifestations of systemic sclerosis. Oral Surg Oral Med Oral Pathol 1994; 77: 141-6.
  • Vincent C, Agard C, Barbarot S, NʼGuyen JM, Planchon B, Durant C, Pistorius MA, Dreno B, Ponge T, Stalder JF, Mercier JM, Hamidou M. Orofacial manifestations of systemic sclerosis: A study of 30 consecutive patients. Rev Med Interne 2009;30:5-11.
  • Rout PG, Hamburger J, Potts AJ. Orofacial radiological manifestations of systemic sclerosis. Dentomaxillofac Radiol 1996;25:193-6.

Maxillofacial Manifestations of Systemic Sclerosis: Case Report

Year 2018, Volume: 4 Issue: 3, 298 - 300, 01.01.2018

Abstract

Systemic Sclerosis is a rarely seen autoimmune inflammatory disease. The main sign of systemic sclerosis is a combination of thickened and stretched skin. Alongside the symptoms in the skin, inflammation and scar formation are observed in many parts of the body such as lungs, kidneys, heart, the intestinal tract. Systemic sclerosis is a disorder affecting oral and facial tissues with skin hardening, thin lips, deep wrinkles, xerostomia, tongue rigidity, and microstomia. The oral manifestations of the illness are caused by deposits of collagen in the tissues or as a result of collagen deposition around nerves and vessels, and all the oral tissues are affected. The most commonly known oral manifestation is widened periodontal ligament spaces. The aim of this study was to present and discuss the oral findings of a 46-year-old male patient with systemic sclerosis. Oral and facial examinations were performed clinically and radiologically. Results: In this study, the oral symptoms of the patient were dysphagia, periodontal problems and mouth opening limitation. SSc patients should have regular follow-up with a yearly panoramic radiograph for other oral and maxillofacial manifestations

References

  • Oksel F. Skleroderma. In: Doğanavşargil D, Gümüşdiş G, eds. Klinik romatoloji el kitabı. 1st ed. İzmir: İzmir Güven Kitabevi, 2003; 281-97.
  • Jung S, Minoux M, Manière M, Martin T, Schmittbuhl M. Previously undescribed pulpal and periodontal ligament calcifications in systemic sclerosis: A case report. Oral Surg Oral Med Oral Pathol Oral Radiol 2013;115:47-51.
  • Tamby MC, Chanseaud Y, Guillevin L, Mouthon L. New insights into the pathogenesis of systemic sclerosis. Autoimmun Rev 2003;2:152-7.
  • Doucet JC, Morriso AD. Bilateral mandibular condylysis from systemic sclerosis: Case report of surgical correction with bilateral total temporomandibular joint replacement. Craniomaxillofac Trauma Reconstr 2011;4:11-8.
  • Jagadish R, Mehta DS, Jagadish P. Oral and periodontal manifestations associated with systemic sclerosis: A case series and review. Journal of Indian Society of Periodontology 2012;16: 271-4.
  • Hachulla E, Launay D. Diagnosis and classification of systemic sclerosis. Clin Rev Allergy Immunol 2011;40:78- 83.
  • Geyer M1, Müller-Ladner U. The pathogenesis of systemic sclerosis revisited. Clin Rev Allergy Immunol 2011;40:92-103.
  • Dagenais M, MacDonald D, Baron M, Hudson M, Tatibouet S, Steele R, et al. The Canadian Systemic Sclerosis Oral Health Study IV: Oral radiographic manifestations in systemic sclerosis compared with the general population. Oral Surg Oral Med Oral Pathol Oral Radiol 2015;120:104-11.
  • Anbiaee N, Tafakhori Z. Early diagnosis of progressive systemic sclerosis (scleroderma) from a panoramic view: Report of three cases. Dentomaxillofac Radiol 2011;40:457-62.
  • Bajraktari IH, Kryeziu A, Sherifi F, Bajraktari H, Lahu A, Bajraktari G. Oral manifestations of systemic sclerosis and correlation with anti-Topoisomerase I antibodies (SCL-70). Med Arch 2015;69:153-6.
  • Nagy G1, Kovács J, Zeher M, Czirják L. Analysis of the oral manifestations of systemic sclerosis. Oral Surg Oral Med Oral Pathol 1994; 77: 141-6.
  • Vincent C, Agard C, Barbarot S, NʼGuyen JM, Planchon B, Durant C, Pistorius MA, Dreno B, Ponge T, Stalder JF, Mercier JM, Hamidou M. Orofacial manifestations of systemic sclerosis: A study of 30 consecutive patients. Rev Med Interne 2009;30:5-11.
  • Rout PG, Hamburger J, Potts AJ. Orofacial radiological manifestations of systemic sclerosis. Dentomaxillofac Radiol 1996;25:193-6.
There are 13 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Sevcihan Günen Yılmaz This is me

İbrahim Şevki Bayrakdar This is me

Seval Bayrak This is me

Publication Date January 1, 2018
Published in Issue Year 2018 Volume: 4 Issue: 3

Cite

APA Günen Yılmaz, S., Bayrakdar, İ. Ş., & Bayrak, S. (2018). Maksillofasiyal Belirtileriyle Sistemik Sklerozis: Olgu Sunumu. Akdeniz Tıp Dergisi, 4(3), 298-300.