| The burning mouth syndrome: lack of a role for contact urticaria and contact dermatitis. | |
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MedLine Citation:
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PMID: 8040401 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The burning mouth syndrome is poorly understood and mainly affects postmenopausal women. Dental allergens have seldom explained the burning. OBJECTIVE: Eight patients (seven women, one man) (mean age 62.5 years) who wore dentures and had the burning mouth syndrome were investigated to determine whether contact urticaria, allergic contact dermatitis, or pressure urticaria played a role. Only patients who had minimal to no erythema of the mucosa were included. METHODS: A complete blood cell count, fasting chemistry profile, and potassium hydroxide examination and cultures for Candida and dermatophytes were obtained. Contact urticaria and patch testing with control substances were performed with a panel of 25 potential denture allergens. RESULTS: Complete blood cell counts and fasting chemistry profiles were normal. One positive Candida culture was found, but no improvement in the symptoms was noted after treatment. All patients tested positive to histamine and to at least two of the nonimmunologic urticaria controls. No patient had a positive urticarial reaction to the potential dental allergens. Two patients with nonimmunologic urticaria to cinnamic aldehyde improved with avoidance. All patch tests were negative. In the six patients tested for pressure urticaria, the results were negative. CONCLUSION: We cannot indict contact dermatitis, contact urticaria, or pressure urticaria as a cause of the burning mouth syndrome in the denture-wearing patient who has a normal-appearing mucosa. The burning symptoms in this syndrome may be secondary to a simple frictional phenomenon of the denture on the mucosa. |
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Authors:
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J Helton; F Storrs |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of the American Academy of Dermatology Volume: 31 ISSN: 0190-9622 ISO Abbreviation: J. Am. Acad. Dermatol. Publication Date: 1994 Aug |
Date Detail:
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Created Date: 1994-08-19 Completed Date: 1994-08-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7907132 Medline TA: J Am Acad Dermatol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 201-5 Citation Subset: IM |
Affiliation:
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Department of Dermatology, Oregon Health Sciences University, Portland 97201-3098. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Blood Cell Count Burning Mouth Syndrome / etiology* Dental Materials / adverse effects* Dentures / adverse effects* Dermatitis, Contact / diagnosis* Female Humans Male Middle Aged Mouth Mucosa / pathology Skin Tests Urticaria / diagnosis* |
| Chemical | |
Reg. No./Substance:
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0/Dental Materials |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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