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Case report
Oral sarcoidosis aiding in diagnosis of underlying systemic disease
  1. Sudeshna Bagchi,
  2. Neha Shah,
  3. Mahmud Abdul Sheikh and
  4. Rudra Prasad Chatterjee
  1. Oral Pathology, Guru Nanak Institute of Dental Science and Research, Kolkata, India
  1. Correspondence to Dr Mahmud Abdul Sheikh; drmahmudop{at}gmail.com

Abstract

Sarcoidosis is a chronic, multisystemic, granulomatous disease of unknown aetiology characterised by the formation of non-caseating granuloma. It shows slight female predominance and has a bimodal age distribution. Lungs, skin, eye and liver are commonly affected. The oral lesion, though uncommon, may present as submucosal nodule, papule or superficial ulceration. Occasionally, oral lesion may be the first manifestation of underlying systemic disease. This case is interesting because it emphasises that dental practitioners may play a key role in early recognition of the clinical presentation of this multifaceted disease, and thereby aid in the diagnosis of the systemic condition. The present report deals with a case of sarcoidosis affecting the buccal mucosa in a 48-year-old woman. The patient was treated with oral prednisolone and within 4 months of corticosteroid therapy, the oral lesion regressed with no recurrence or new lesion noted over a period of 1 year.

  • dentistry and oral medicine
  • mouth
  • pathology
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Footnotes

  • Contributors SB: acquisition of data and preparing the manuscript. NS: conception and design, and correction of the manuscript. MAS: analysis and interpretation of data, and correction of the manuscript. RPC: acquisition of data, and planning and designing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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