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Báo cáo y học: " Oral involvement in a case of AA amyloidosis: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Oral involvement in a case of AA amyloidosis: a case report. | Cengiz et al. Journal of Medical Case Reports 2010 4 200 http www.jmedicalcasereports.eom content 4 1 200 jA JOURNALOF.MEDICAL CASE REPORTS CASE REPORT Open Access Oralinvolvement in a case of AA amyloidosis a case report M Inang Cengiz 1 Hom-Lay Wang2 and Levent Yildiz3 Abstract Introduction Deposition of amyloid fibrils derived from circulating acute-phase reactant serum amyloid A protein causes systemic amyloidosis a serious inflammatory disorder. We document a male patient who developed reactive amyloidosis AA type most likely secondary to his long standing periodontitis. Case presentation A 67-year-old Turkish man complained of pain in his oral cavity burning mouth especially on the tongue and had difficulty chewing and swallowing foods. A careful dental periodontal examination was performed including assessment of plaque gingival condition and periodontal probing depths on all his remaining teeth. Prosthetic rehabilitation was provided three months after the completion of his periodontal and surgical therapy. The concentration of serum inflammatory markers including erythrocyte sedimentation rate white blood cell count fibrinogen and high sensitive C-reactive protein were measured at baseline at the second and sixth weeks and at three and six months after the periodontal and surgical therapy. Conclusions Oral examination revealed a few papules on the dorsum of the tongue with two slightly painful small ulcers localized on the vestibule of the mouth. The mean probing depth was 9.10 0.84 mm. Biopsies of the tongue buccal mucosa and retromolar trigone were performed and amyloid deposits were found. The serum inflammatory markers improved more dramatically at the second week of periodontal therapy than any other time intervals. Amyloidosis may manifest as periodontal destruction that leads to severe chronic periodontitis. Proper periodontal treatment may alleviate systemic inflammatory mediators caused by the amyloidosis. Introduction Reactive systemic AA .