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Importance of rapid management in painful progressive ulcerative lesions in elderly immunosuppressed patients: Two case reports
Author(s) -
Vieira Esteves Camilla,
Yanaguizawa Wellington H.,
Lemos Celso A.,
Alves Fábio A.,
Almeida Oslei Paes,
Sugaya Norberto Nobuo
Publication year - 2019
Publication title -
special care in dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.328
H-Index - 41
eISSN - 1754-4505
pISSN - 0275-1879
DOI - 10.1111/scd.12367
Subject(s) - medicine , tuberculosis , oral mucosa , differential diagnosis , extrapulmonary tuberculosis , human immunodeficiency virus (hiv) , dermatology , pulmonary tuberculosis , pathology , mycobacterium tuberculosis , immunology
Abstract Oral manifestations of tuberculosis (TB) are not so frequent, and the lesions may emerge in immunosuppressed patients as a secondary expression of pulmonary TB. The following two case reports focus on the clinical challenge of early diagnosis of painful ulcerative lesions in oral mucosa that occurred in two senior females, both human immunodeficiency virus negative patients, however receiving immunosuppressing medication. The patients did not present classic symptoms of TB. Nevertheless, based on different studies, extrapulmonary TB should still be considered as differential diagnosis for the oral mucosa lesions developed by these patients.