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A Case of Idiopathic First Bite Syndrome, Possibly Linked to Type I Diabetes Mellitus

We present a rare case of a 34-year-old male with poorly regulated type I diabetes and three-month history of excruciating pain in the right condylar process of the mandible, occurring only during the first bite of each meal. The patient had no history of surgery or trauma in the head and neck regio...

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Autores principales: Stavridopoulos, Methodios T, Nikitopoulos, Stavros N, Oikonomou, Anastasia A, Tsiouma, Georgia K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10129292/
https://www.ncbi.nlm.nih.gov/pubmed/37113374
http://dx.doi.org/10.7759/cureus.36710
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author Stavridopoulos, Methodios T
Nikitopoulos, Stavros N
Oikonomou, Anastasia A
Tsiouma, Georgia K
author_facet Stavridopoulos, Methodios T
Nikitopoulos, Stavros N
Oikonomou, Anastasia A
Tsiouma, Georgia K
author_sort Stavridopoulos, Methodios T
collection PubMed
description We present a rare case of a 34-year-old male with poorly regulated type I diabetes and three-month history of excruciating pain in the right condylar process of the mandible, occurring only during the first bite of each meal. The patient had no history of surgery or trauma in the head and neck region. Clinical and imaging examination revealed no tumor or pathology deriving from the dentures, the temporomandibular joint (TMJ), or the salivary glands. Idiopathic first bite syndrome (FBS) was suspected and treated with pregabalin and glycemic control. This case highlights how a detailed pain history and clinical examination can lead to a rare diagnosis and indicates the potential involvement of diabetic neuropathy in idiopathic FBS, as well as the importance of glycemic regulation in treatment.
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spelling pubmed-101292922023-04-26 A Case of Idiopathic First Bite Syndrome, Possibly Linked to Type I Diabetes Mellitus Stavridopoulos, Methodios T Nikitopoulos, Stavros N Oikonomou, Anastasia A Tsiouma, Georgia K Cureus Endocrinology/Diabetes/Metabolism We present a rare case of a 34-year-old male with poorly regulated type I diabetes and three-month history of excruciating pain in the right condylar process of the mandible, occurring only during the first bite of each meal. The patient had no history of surgery or trauma in the head and neck region. Clinical and imaging examination revealed no tumor or pathology deriving from the dentures, the temporomandibular joint (TMJ), or the salivary glands. Idiopathic first bite syndrome (FBS) was suspected and treated with pregabalin and glycemic control. This case highlights how a detailed pain history and clinical examination can lead to a rare diagnosis and indicates the potential involvement of diabetic neuropathy in idiopathic FBS, as well as the importance of glycemic regulation in treatment. Cureus 2023-03-26 /pmc/articles/PMC10129292/ /pubmed/37113374 http://dx.doi.org/10.7759/cureus.36710 Text en Copyright © 2023, Stavridopoulos et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Endocrinology/Diabetes/Metabolism
Stavridopoulos, Methodios T
Nikitopoulos, Stavros N
Oikonomou, Anastasia A
Tsiouma, Georgia K
A Case of Idiopathic First Bite Syndrome, Possibly Linked to Type I Diabetes Mellitus
title A Case of Idiopathic First Bite Syndrome, Possibly Linked to Type I Diabetes Mellitus
title_full A Case of Idiopathic First Bite Syndrome, Possibly Linked to Type I Diabetes Mellitus
title_fullStr A Case of Idiopathic First Bite Syndrome, Possibly Linked to Type I Diabetes Mellitus
title_full_unstemmed A Case of Idiopathic First Bite Syndrome, Possibly Linked to Type I Diabetes Mellitus
title_short A Case of Idiopathic First Bite Syndrome, Possibly Linked to Type I Diabetes Mellitus
title_sort case of idiopathic first bite syndrome, possibly linked to type i diabetes mellitus
topic Endocrinology/Diabetes/Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10129292/
https://www.ncbi.nlm.nih.gov/pubmed/37113374
http://dx.doi.org/10.7759/cureus.36710
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