Sarcoidosis: oral manifestations (case report)
https://doi.org/10.33925/1683-3759-2024-998
Abstract
Relevance. Sarcoidosis is a multisystem granulomatous disease of unknown origin, commonly presenting with bilateral hilar lymphadenopathy, pulmonary infiltrates, and involvement of the eyes, skin, gums, and oral mucosa. This clinical case illustrates the oral manifestations of this rare systemic disease. Gingival hypertrophy and soft tissue lesions on the lip mucosa were the initial signs of the condition. Following an extended diagnostic process, the patient underwent treatment by both a dentist and a rheumatologist, leading to a stable remission of the disease.
Case description. This article presents a clinical case of sarcoidosis manifesting in the mouth as gingival hypertrophy and a soft tissue lesion on the upper lip. In most cases, a diagnosis of sarcoidosis is made before any oral symptoms appear. Diagnosing a systemic disease based on primary oral symptoms poses a unique challenge, as dental professionals may not always be familiar with the oral manifestations of systemic conditions. In cases of suspected sarcoidosis, the oral mucosa should be thoroughly examined, and systemic sarcoidosis should be considered in the differential diagnosis of granulomatous lesions in the mouth.
Conclusion. Early initiation of treatment can significantly improve the patient's quality of life and prognosis.
About the Authors
E. A. Volkov
Russian University of Medicine
Russian Federation
Russian Federation
Evgeny A. Volkov, DMD, Professor, Department of the Restorative Dentistry and Periodontology
Moscow
O. M. Vasyukova
Russian University of Medicine
Russian Federation
Russian Federation
Olga M. Vasyukova, DMD, PhD, Docent, Assistant Professor, Department of the Restorative Dentistry and Periodontics
Moscow
Y. V. Blashkova
Russian University of Medicine
Russian Federation
Russian Federation
Yulia V. Blashkova, DMD, PhD student, Department of the Restorative Dentistry and Periodontology
Moscow
V. G. Atrushkevich
Russian University of Medicine
Russian Federation
Russian Federation
Victoria G. Atrushkevich, DMD, PhD, DSc, Professor, Head of the Department of Restorative Dentistry and Periodontology
Moscow
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Review
For citations:
Volkov EA, Vasyukova OM, Blashkova YV, Atrushkevich VG. Sarcoidosis: oral manifestations (case report). Parodontologiya. 2024;29(3):341-348. (In Russ.) https://doi.org/10.33925/1683-3759-2024-998
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