1/7. oral manifestations of paracoccidioidomycosis. Report of 21 cases from argentina.The present study describes 21 Argentinian patients living in the province of Corrientes, who had developed oral manifestations due to paracoccidioides brasiliensis infection. Of these, 20 patients were men and one a woman. patients were of an average age of 39 years (range 25 to 72 years). Approximately, 76.2% of the patients were farmers. Gingival lesions were observed in 76%. Also, the tongue (71%) and the lips (62%) were frequently affected. Cytological smears and histopathology showed the characteristic fungal cells with the characteristic granulomatous inflammatory reaction consisting of lymphocytes, epithelioid cells and giant cells of the Langhans type. All patients except one had detectable pulmonary involvement. Therapy consists of long-term administration of itraconazole. oral manifestations of paracoccidioidomycosis are characteristic in their clinical presentation. early diagnosis and adequate therapy may prevent extensive tissue destructions. Long-term follow-up is mandatory.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/7. Giant twin sialoliths presenting with acute cellulitis: a case report.Sialolithiasis is a process of unknown aetiology in which calculus concretions form in the salivary gland ducts and tissue. It may occur at any age but it is most common in middle-aged adults. A case is presented of the occurrence of double giant sialoliths in the left Wharton's duct in a 16-year-old boy. The clinical symptoms and signs were somewhat atypical and included acute suppurative cellulitis in the floor of the mouth plus localized periodontitis involving 36. Under a local anaesthetic the stones were surgically extracted and healing was uneventful. Proper interpretation of symptoms and thoughtful investigation for localization of salivary stones is emphasized.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
3/7. The reawakening of a sleeping little giant.This case report and literature review highlights the classical signs and symptoms of herpes zoster infection involving the trigeminal nerve. Incorrect diagnosis leads to delay in providing effective treatment and could result in failure to identify potentially hazardous ocular complications and to prevent chronic post-herpetic pain.- - - - - - - - - - ranking = 4keywords = giant (Clic here for more details about this article) |
4/7. Xanthoma disseminatum: a case with extensive mucous membrane involvement.A 37-year-old man had red or brownish papules on his face, chest, and groin, where they coalesced into plaques. Endoscopic examination revealed the presence of small xanthomatous papules on the mucous membrane of the stomach. A biopsy specimen revealed a dense infiltrate of histiocytes, foam cells, Touton giant cells, and inflammatory cells. The diagnosis of non-X histiocytosis was confirmed by immunohistochemical studies of the infiltrate.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
5/7. Castleman's tumor and erosive lichen planus: coincidence or association?Report of a case.The rare association of severe erosive lichen planus and Castleman's tumor is presented. Castleman's tumor, or giant lymph node hyperplasia, is a benign neoplasm resembling thymic tumors and is associated with several immunologic abnormalities. lichen planus also is associated with immunologic defects. One hypothesis linking these two diseases is that lymphocytes may become sensitized to tumor antigens on the Castleman's tumor and attack cross-reacting structures in the skin and other stratified squamous mucosae to produce the clinical picture of lichen planus.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
6/7. Oral necrosis accompanying giant cell arteritis.necrosis of the oral tissues developed in two elderly patients following their admission to the hospital for hypothermia and massive subcutaneous blood loss, respectively. One had necrosis of the fingertips, a feature sometimes associated with giant cell arteritis. biopsy of the oral lesion in this patient demonstrated an ischemic catastrophe. Although these vascular accidents arose without histologic confirmation of giant cell arteritis, the two consultant physicians and the consultant dermatologist in charge of these patients considered the diagnosis to be that of giant cell arteritis.- - - - - - - - - - ranking = 7keywords = giant (Clic here for more details about this article) |
7/7. Giant mucocele of oral cavity as a mucocutaneous manifestation of Sjogren syndrome.Two cases of Sjogren syndrome who developed a giant mucocele on the floor of the oral cavity are reported. Histological analysis revealed the dense infiltration of lymph-plasmacytic infiltration around the dilated salivary duct. Similar findings were observed in the biopsied specimens of the labial salivary gland which were consistent with the grade 4 score proposed by Chisholm and Mason's criteria. mucocele is a common mucocutaneous disease of unknown etiology except for traumatic origin and Sjogren syndrome might be one of the important underlying disease which causes giant mucocele, especially in elderly female patients.- - - - - - - - - - ranking = 2keywords = giant (Clic here for more details about this article) |