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A Skeptical Approach to the Management of Persistent Oral Ulceration in a Child

The diagnosis of oral lesions is sometimes difficult due to both the clinician's limited experience with the conditions that may cause the lesions and their similar appearances, especially in children. Correctly establishing a definitive diagnosis is of major importance to clinicians who manage...

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Autores principales: Kartal, Ibrahim, Dağdemir, Ayhan, Elli, Murat, Yıldız, Levent, Yılmaz, Ayşegül
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5925021/
https://www.ncbi.nlm.nih.gov/pubmed/29850343
http://dx.doi.org/10.1155/2018/2681723
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author Kartal, Ibrahim
Dağdemir, Ayhan
Elli, Murat
Yıldız, Levent
Yılmaz, Ayşegül
author_facet Kartal, Ibrahim
Dağdemir, Ayhan
Elli, Murat
Yıldız, Levent
Yılmaz, Ayşegül
author_sort Kartal, Ibrahim
collection PubMed
description The diagnosis of oral lesions is sometimes difficult due to both the clinician's limited experience with the conditions that may cause the lesions and their similar appearances, especially in children. Correctly establishing a definitive diagnosis is of major importance to clinicians who manage patients with oral mucosal diseases. In patients with Fanconi anaemia (FA), oral ulcers occur frequently, which are quite variable, and may lead to a misdiagnosis or failure to diagnose. Here, we report the case of a 15-year-old boy who was examined for squamous cell cancer of the tongue and diagnosed as having FA without any haematological manifestations. While surgery could not be done, both radiotherapy and chemotherapy had to be decreased. He died of progressive disease 6 months after the diagnosis. Unexplained ulcers in a child with a duration longer than 2 weeks should be further evaluated, especially for FA, even without the presence of anaemia.
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spelling pubmed-59250212018-05-30 A Skeptical Approach to the Management of Persistent Oral Ulceration in a Child Kartal, Ibrahim Dağdemir, Ayhan Elli, Murat Yıldız, Levent Yılmaz, Ayşegül Case Rep Pediatr Case Report The diagnosis of oral lesions is sometimes difficult due to both the clinician's limited experience with the conditions that may cause the lesions and their similar appearances, especially in children. Correctly establishing a definitive diagnosis is of major importance to clinicians who manage patients with oral mucosal diseases. In patients with Fanconi anaemia (FA), oral ulcers occur frequently, which are quite variable, and may lead to a misdiagnosis or failure to diagnose. Here, we report the case of a 15-year-old boy who was examined for squamous cell cancer of the tongue and diagnosed as having FA without any haematological manifestations. While surgery could not be done, both radiotherapy and chemotherapy had to be decreased. He died of progressive disease 6 months after the diagnosis. Unexplained ulcers in a child with a duration longer than 2 weeks should be further evaluated, especially for FA, even without the presence of anaemia. Hindawi 2018-04-11 /pmc/articles/PMC5925021/ /pubmed/29850343 http://dx.doi.org/10.1155/2018/2681723 Text en Copyright © 2018 Ibrahim Kartal et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kartal, Ibrahim
Dağdemir, Ayhan
Elli, Murat
Yıldız, Levent
Yılmaz, Ayşegül
A Skeptical Approach to the Management of Persistent Oral Ulceration in a Child
title A Skeptical Approach to the Management of Persistent Oral Ulceration in a Child
title_full A Skeptical Approach to the Management of Persistent Oral Ulceration in a Child
title_fullStr A Skeptical Approach to the Management of Persistent Oral Ulceration in a Child
title_full_unstemmed A Skeptical Approach to the Management of Persistent Oral Ulceration in a Child
title_short A Skeptical Approach to the Management of Persistent Oral Ulceration in a Child
title_sort skeptical approach to the management of persistent oral ulceration in a child
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5925021/
https://www.ncbi.nlm.nih.gov/pubmed/29850343
http://dx.doi.org/10.1155/2018/2681723
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