This is a report on two middle-age female patients who were sent for observation on the same day to the Hospital of the University of Bari, Italy, presenting two identical clinical situations. Both patients were sent by their family dentist because of hard and painless palatal swellings. In both cases the intraoral examination revealed the presence of tori which were localized exclusively on the palate in one case, and on the palate as well as on the mandible in the other case. After informing the patients of the benign nature of the lesions and accurately visiting the oral cavity, a fissured tongue was detected in one case and fissured/geographic tongue in the other. An accurate anamnesis was then performed in both cases to detect signs or symptoms of systemic diseases. The only interesting data were the reports on chronic thyroiditis and the current therapy with sodic levothyroxine (Eutirox) in both instances. plicata tongue, oral tori and thyroiditis With the doubt that a possible clinical-pathological association could be detectable among these three distinct pathologies (), a Pub. Med. search was carried out by using the three key words, both independently and together, but no data in the literature on previous findings were obtained. While it is generally accepted that oral tori have their own genetic determinants, also correlated to different ethnic groups (1-4) and plicata tongue (with or without associated geographic tongue), it is a constant sign of systemic disease (e.g. granulomatosis diseases, Melkersson-Rosenthal syndrome, chronic inflammatory intestinal disorders, etc.) (5-7), and thyroiditis is very often associated with autoimmune disorders not of the oral mucosa, we retain that an association among the three disorders could be suspected. For this reason, through the editor, this letter is addressed to general dentists and oral pathologists with the purpose of verifying worldwide whether the association we describe really exists, and eventually in order to identify a new head-neck syndrome.
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|Titolo:||Plicata tongue, oral tori and thyroiditis: is this a new head and neck syndrome?”|
|Data di pubblicazione:||2007|
|Appare nelle tipologie:||1.2 Recensione in rivista|