The Diagnosis and Treatment of Multiple Factitious Oral Ulcers in a 6-Year-Old Boy
Joint Authors
Rios, Daniela
Cruvinel Silva, Thiago
Gonçalves, Priscilla Santana Pinto
Mendez, Daniela Alejandra Cusicanqui
Santos, Paulo Sérgio da Silva
Damante, José Humberto
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-15
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Factitious ulcers are characterized by self-inflicted lesions with multifactorial origin.
These lesions are frequently found in head, neck, and hands.
This report shows a 6-year-old boy diagnosed with factitious oral ulcers that occurred after the self-biting of buccal vestibule and nail-scratching of gingival tissue.
Clinically, a significant swelling was observed, hard on palpation, located at the right lower third of the face, next to the posterior area of the mandible.
In the intraoral examination, ulcers at different healing stages were noted on the swelling area.
During the anamnesis, the father reported a change in his familial structure that triggers psychological stress, providing the clues to the presumptive diagnosis of factitious oral ulcers.
We prescribed the topical use of Gingilone® three times a day to control the local pain and inflammation.
At 7-day follow-up, we noticed the reduction of extraoral swelling and the initial healing of the ulcers.
The presumptive diagnosis was confirmed at 30-day follow-up, with the lasting remission of oral lesions.
The treatments of factitious oral ulcers should be individually tailored for each patient, focused on a multidisciplinary approach, including psychotherapy and periodic clinical control.
To the best of our knowledge, gaps of evidence lead to the lack of standardized clinical protocols on this issue.
American Psychological Association (APA)
Gonçalves, Priscilla Santana Pinto& Mendez, Daniela Alejandra Cusicanqui& Santos, Paulo Sérgio da Silva& Damante, José Humberto& Rios, Daniela& Cruvinel Silva, Thiago. 2017. The Diagnosis and Treatment of Multiple Factitious Oral Ulcers in a 6-Year-Old Boy. Case Reports in Dentistry،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1144549
Modern Language Association (MLA)
Gonçalves, Priscilla Santana Pinto…[et al.]. The Diagnosis and Treatment of Multiple Factitious Oral Ulcers in a 6-Year-Old Boy. Case Reports in Dentistry No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1144549
American Medical Association (AMA)
Gonçalves, Priscilla Santana Pinto& Mendez, Daniela Alejandra Cusicanqui& Santos, Paulo Sérgio da Silva& Damante, José Humberto& Rios, Daniela& Cruvinel Silva, Thiago. The Diagnosis and Treatment of Multiple Factitious Oral Ulcers in a 6-Year-Old Boy. Case Reports in Dentistry. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1144549
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144549