[1]韩莉,张艳峰,韩占栋,等.误诊为肉芽肿的牙源性皮瘘1例[J].中国皮肤性病学杂志,2019,(05):606-607.[doi:10.13735/j.cjdv.1001-7089.201801099]
 HAN Li,ZHANG Yanfeng,HAN Zhandong,et al.A Case of Odontogenic Fistula Misdiagnosed as Granulomatosis[J].The Chinese Journal of Dermatovenereology,2019,(05):606-607.[doi:10.13735/j.cjdv.1001-7089.201801099]
点击复制

误诊为肉芽肿的牙源性皮瘘1例
分享到:

《中国皮肤性病学杂志》[ISSN:1001-7089/CN:61-1197/R]

卷:
期数:
2019年05期
页码:
606-607
栏目:
误诊教训
出版日期:
2019-04-01

文章信息/Info

Title:
A Case of Odontogenic Fistula Misdiagnosed as Granulomatosis
文章编号:
1001-7089(2019)05-0606-02
作者:
韩莉1张艳峰2韩占栋3刘杰1李俊峰1
1.河北省衡水市第二人民医院皮肤科,河北 衡水 053000;2.河北省承德市中心医院皮肤科,河北 承德 067000;3.河北省衡水市第二人民医院口腔科,河北 衡水 053000
Author(s):
HAN Li1 ZHANG Yanfeng 2 HAN Zhandong3 LIU Jie1 LI Junfeng 1
(1.Department of Dermatology, Hengshui Second Hospital, Hengshui 053000,China;2.Chengde City Center Hospital, Chengde 067000, China;3.Department of Stomatology, Hengshui Second Hospital, Hengshui 053000, China)
关键词:
皮肤瘘管牙源性慢性根尖周炎
Keywords:
Cutaneous fistulasOdontogenicChronic periapical periodontitis
分类号:
R 782
DOI:
10.13735/j.cjdv.1001-7089.201801099
文献标志码:
B
摘要:
患者女,65岁。面部肿物反复溃疡流脓5个月。皮肤科情况:面部下颌处见直径为0.8 cm 类圆形紫红色肿物,表面有结痂及渗出,质硬,与基底黏连,周围有红肿。初步诊断为化脓性肉芽肿,组织病理显示表皮角化过度伴角化不全,表皮突下伸增宽,真皮浅层呈急性炎症,部分为化脓性炎症伴肉芽组织形成。追问病史,面部包块出现前1个月有过牙齿肿痛不适,请口腔科会诊,可见牙龈肿胀,左下后切牙及尖、磨牙缺如。用牙胶尖从瘘口探至底部行牙齿X线检查示:瘘口至底部下颌中切牙窦道。结合临床和X线检查,诊断为牙源性皮瘘。治疗:口腔科根管治疗。
Abstract:
A 65-year-old female suffered from tumor with recurrent ulceration and pustular secretions on the face for 5 months.Dermatological examination revealed a round purple, firm swelling mass in a diameter of 0.8 cm, with crusts and secretions, on the chin.The mass was attached to the skin and firm.A diagnosis of pyogenic granuloma was initially considered.Skin histopathology showed epidermal hyperkeratosis and parakeratosis, downward elongation of widened rete ridges, evidence of acute inflammation in the superficial dermis, and granulation tissue.Patient had had gum sore and discomfort prior to appearance of the mass on the chin.Oral examination showed swollen gums and absence of the lower left posterior incisors, sharp and molar teeth.After fully inserting gutta percha point into the fistula, dental X-ray examination showed a fistula from mandibular incisor to the chin.According to the clinical features and X ray findings, it was diagnosed as odontogenic fistula, and root canal was performed.

参考文献/References:


[1]曾维惠, 聂建军, 蒋月桂, 等.颌面部牙源性皮瘘12例误诊误治分析[J].中国皮肤性病学杂志, 2008, 22(10): 628-629.
[2] 摩剑绚,苏小磊.鼻旁牙源性皮肤瘘管2例[J].临床耳鼻咽喉科杂志,2001,15(5):201
[3] Abuabara A,Schramm CA,Zielak JC,et al.Dental infection simulating skin lesion[J].An Bras Dermatol,2012,87(4):619-621.
[4] Kishore KRV, Devireddy SK, Gali RS, et al.Cutaneous sinuses of cervicofacial region: a clinical study of 200 cases[J].J Maxillofac Oral Surg, 2012, 11(4): 411-415.
[5] 王松挺.鼻旁牙源性皮瘘一例1例[J].中华皮肤科杂志,2014,47(7):493.

备注/Memo

备注/Memo:

[作者单位]1.河北省衡水市第二人民医院皮肤科,河北 衡水 053000;2.河北省承德市中心医院皮肤科,河北 承德 067000;3.河北省衡水市第二人民医院口腔科,河北 衡水 053000
更新日期/Last Update: 2019-04-15