Читать книгу A Practical Approach to Special Care in Dentistry - Группа авторов - Страница 164

 The most common oral lesion is a chronic ulcer located on the dorsum of the tongue (although it can also appear on the palate, lips, oral mucosa and gums) (Figure 4.1.2)

 Diagnosis is established based on a biopsy of the lesion

 Cervical or submandibular tuberculous lymphadenopathyOften caused by nontuberculous mycobacteriaA number of these mycobacteria are multiresistant, particularly among patients with HIV infectionLymphadenopathy can fistulise the skin surface (scrofula)Figure 4.1.2 Primary tuberculosis manifesting as a non‐healing, tender ulcer on the tip of the tongue.Diagnosis is established through cultures and/or polymerase chain reaction (PCR) of the nodule biopsyTreatment usually consists of administering clarithromycin and excising the affected nodules

 There have been reported oral findings related to tuberculostatic agents:Rifampicin and rifabutin can stain the saliva redRifampicin can cause lichenoid hypersensitivity lesionsStreptomycin can cause circumoral paraesthesia