Oral amyloidosis: an update.

F-S Pontes, G-B Ferreira, F-P Fonseca, T-F Ribeiro, P-C Caldeira, T-S Tavares, A-P Bentes, M-A Lopes, T-A Silva, J-G Lemos, H-A Pontes
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Abstract

Background: Amyloidosis is a disease characterized by the progressive deposition of abnormal proteins that can occur in any organ. In the oral cavity, the tongue is the most common affected site, usually causing macroglossia. Biopsy is essential for the diagnosis and the occurrence of its systemic form is mandatory to be investigated. This systematic review evaluated the existing information in the literature on Amyloidosis in the oral cavity to allow a more comprehensive and updated analysis of its clinicopathological characteristics, as well as to explore the main forms of treatment and prognostic factors.

Material and methods: Electronic searches were undertaken in five databases supplemented by manual scrutiny.

Results: A total of 111 studies were included with 158 individuals.

Conclusions: The disease had a higher prevalence in women, the tongue was the most affected site, as well as the systemic form of the disease. The worst prognosis was for cases of systemic amyloidosis associated with multiple myeloma.

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口腔淀粉样变:最新进展。
背景:淀粉样变性是一种以异常蛋白进行性沉积为特征的疾病,可发生在任何器官。在口腔中,舌头是最常见的受影响的部位,通常会引起大舌漏。活检对于诊断是必不可少的,其系统性形式的发生必须进行调查。本系统综述评估了口腔淀粉样变性的现有文献,以便对其临床病理特征进行更全面和最新的分析,并探讨主要的治疗形式和预后因素。材料和方法:在五个数据库中进行电子搜索,并辅以人工审查。结果:共纳入111项研究,158人。结论:本病在女性中发病率较高,以舌部发病最多,并以全身形式发病。预后最差的是与多发性骨髓瘤相关的系统性淀粉样变。
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来源期刊
CiteScore
4.50
自引率
0.00%
发文量
52
期刊介绍: 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology
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