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An unusual presentation of oropharyngeal mucosal plasmacytosis related to toothpaste

Published online by Cambridge University Press:  25 September 2007

D C Tong*
Affiliation:
Department of Oral Diagnostic and Surgical Sciences, School of Dentistry, University of Otago, Dunedin, New Zealand
M R Leaper
Affiliation:
Department of Otolaryngology, Dunedin Hospital, Dunedin, New Zealand
A N Colquhoun
Affiliation:
Department of Oral and Maxillofacial Surgery, Waikato Hospital, Hamilton, New Zealand
A M Rich
Affiliation:
Department of Oral Diagnostic and Surgical Sciences, School of Dentistry, University of Otago, Dunedin, New Zealand
*
Address for correspondence: Mr D C Tong, Consultant Oral and Maxillofacial Surgeon, Dept of Oral Diagnostic and Surgical Sciences, PO Box 647, Dunedin, New Zealand. Fax: 64 3 479 3937 E-mail: [email protected]

Abstract

Objective:

We present the case of a 59-year-old Chinese patient with an unusual presentation of mucosal plasmacytosis involving the oropharynx, related to the use of toothpaste.

Method:

Case presentation and review of English medical literature involving mucosal plasmacytosis.

Results:

Mucosal plasmacytosis is an uncommon disease process and has been associated with hypersensitivity reactions. Most cases involve the gingival mucosa, although there have been reports of cases involving other oral mucosal sites and the upper aerodigestive tract. Our case provides an example of oropharyngeal plasmacytosis related to toothpaste. A resolution of signs and symptoms followed withdrawal of the suspected allergens.

Conclusion:

Mucosal plasmacytosis is a benign inflammatory process that may appear to be more sinister on clinical examination. Skin patch testing is a useful adjunct in confirming the diagnosis.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2008

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References

1 Owings, JR. An atypical gingivostomatitis: a report of four cases. J Periodontal 1969;40:538–42Google ScholarPubMed
2 Perry, HO, Deffner, NF, Sheridan, PJ. Atypical gingivostomatitis. Nineteen cases. Arch Dermatol 1973;107:872–8CrossRefGoogle ScholarPubMed
3 Lubow, RM, Cooley, RL, Hartman, KS, McDaniel, RK. Plasma cell gingivitis. Report of a case. J Periodontol 1984;55:235–24CrossRefGoogle ScholarPubMed
4 MacLeod, RI, Ellis, JR. Plasma cell gingivitis related to the use of herbal toothpaste. Br Dent J 1989;166:375–6CrossRefGoogle Scholar
5 Kerr, DA, McClatchey, KD, Regezi, JA. Allergic gingivostomatitis (due to chewing gum). J Periodontol 1971;42:709–12CrossRefGoogle Scholar
6 Silverman, S, Lozada, F. An epilogue to plasma cell gingivostomatitis (allergic gingivostomatitis). Oral Surg Oral Med Oral Pathol 1977;43:211–17CrossRefGoogle Scholar
7 Sollecito, TP, Greenberg, MS. Plasma cell gingivitis. Report of two cases. Oral Surg Oral Med Oral Pathol 1992;73:690–3CrossRefGoogle ScholarPubMed
8 White, JW, Olsen, KD, Banks, PM. Plasma cell orificial mucositis. Report of a case and review of literature. Arch Dermatol 1986;122:1321–4CrossRefGoogle Scholar
10 Ferreiro, JA, Egorshin, EV, Olsen, KD, Banks, PM, Weiland, LH. Mucous membrane plasmacytosis of the upper aerodigestive tract. A clinicopathologic study. Am J Surg Pathol 1994;18:1048–53CrossRefGoogle ScholarPubMed
11 Kaur, C, Thami, GP, Sarkar, R, Kanwar, AJ. Plasma cell mucositis. J Eur Acad Dermatol Venereal 2001;15:566–7CrossRefGoogle ScholarPubMed