日本口腔外科学会雑誌
Online ISSN : 2186-1579
Print ISSN : 0021-5163
ISSN-L : 0021-5163
症例報告
潰瘍性大腸炎発見の契機となった類上皮細胞肉芽腫の1例
長谷川 大悟庭田 千恵子細井 鴻之介田林 万奈別所 央城
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2022 年 68 巻 3 号 p. 155-160

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We report a case of epithelioid cell granuloma on the lower right gingiva that led to the diagnosis of ulcerative colitis and improved oral lesions along with treatment for ulcerative colitis. The patient, an 18-year-old female with no medical history of interest, was referred to the oral surgery department of a university hospital for swelling of the lower right gingiva. A depression, with a ulcerative lesion with partial erosion, was observed. A biopsy was taken, given a malignant tumor was suspected. However, epithelioid cell granuloma was diagnosed based on the histopathological examination; thus, sarcoidosis, Crohn's disease, and tuberculosis were suspected. The patient was transferred to our hospital and consulted with the Internal Medicine department. Careful gastroenterology and ophthalmology examinations ultimately led to the diagnosis of ulcerative colitis. Both the digestive symptoms and oral lesions improved with the start of mesalazine treatment for ulcerative colitis.

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