11/14. head and neck manifestations of tumoral calcinosis.Intraoral facial and laryngeal features of tumoral calcinosis are reviewed in six patients of Jewish-Yemenite descent. Extraoral features included calcified masses, erythematous patches, and angular cheilitis. Oral soft tissue findings included papillary hyperplasia of the lip vermilion and velvety-red macules on the tongue, palate, and buccal mucosa. Gingival findings included advanced periodontitis and an erythematous marginal gingivitis. In all patients, orthognathic evaluation revealed a concave profile, retruded maxilla, and relative mandibular prognathism. Although previously reported clinical dental abnormalities were not present, extracted teeth demonstrated abnormal dentin. hoarseness was present in all patients and was the earliest appearing feature in two patients. The appearance of these head and neck findings preceded the classical manifestations of tumoral calcinosis and may be helpful in the early diagnosis of this entity. The varied reported features of tumoral calcinosis support the notion that this disease may present multiple formes frustes with variable clinical expressivity.- - - - - - - - - - ranking = 1keywords = hyperplasia (Clic here for more details about this article) |
12/14. focal epithelial hyperplasia (Heck's disease) with generalized lesions of the gingiva. A case report.focal epithelial hyperplasia is an uncommon benign oral condition that occurs mainly in young individuals of certain racial groups. The lesions most commonly affect the mucosal surfaces of the lips and they have been observed frequently to regress within a few months. This is a report of an unusual case of focal epithelial hyperplasia in a young black adult presenting with generalized involvement of the gingiva. There is no clinical evidence of regression of the lesions and the case remains similar to the original appearance 2 years after diagnosis. The diagnosis and management of focal epithelial hyperplasia are discussed.- - - - - - - - - - ranking = 7keywords = hyperplasia (Clic here for more details about this article) |
13/14. angiolymphoid hyperplasia with eosinophilia affecting the oral mucosa: report of a case and a review of the literature.angiolymphoid hyperplasia with eosinophilia (ALHE) is an uncommon disorder of unknown aetiology. Clinically, it is characterized by cutaneous papules or nodules on the head and neck, and extracutaneous involvement is rare. We report a 30-year-old woman who had an asymptomatic submucosal nodule on the upper lip, which histopathologically showed features of ALHE, and review the previously described 15 cases of oral ALHE.- - - - - - - - - - ranking = 5keywords = hyperplasia (Clic here for more details about this article) |
14/14. Hyalinosis cutis et mucosae: gingival involvement.Hyalinosis cutis et mucosae (lipoid proteinosis, Urbach-Wiethe disease) is a rare syndrome with autosomal recessive inheritance. The disease is characterized by diffuse deposition of a hyaline-like substance in the dermis, the submucosal connective tissue and various internal organs. The oral mucosa of affected people becomes nodular and thickened, with primary involvement of the labial, buccal and palatal mucosa, posterior tongue, and lingual frenulum. We report the case of a 66-year-old man with hyalinosis cutis et mucosae who presented with gingival hyperplasia due to diffuse deposition of hyaline-like material, and discuss the diagnostic significance of the microscopic findings of the gingival tissues. The present clinical features are also compared to those of the same patient at the age of 38 years.- - - - - - - - - - ranking = 1keywords = hyperplasia (Clic here for more details about this article) |
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