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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2018
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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. |
format | Online Article Text |
id | pubmed-5925021 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
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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