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Case report
Oral focal mucinosis of the palate: a rare disease entity
  1. Alice Cameron1,
  2. James Edward Noctun Webster1,
  3. Catherine Elizabeth Wicks2 and
  4. Serryth Dominic Colbert1
  1. 1Department of Oral and Maxillofacial Surgery, Royal United Hospital Bath NHS Trust, Bath, UK
  2. 2Oral and Maxillofacial Surgery, Bristol Royal Infirmary, Bristol, UK
  1. Correspondence to Dr Alice Cameron; a.cameron6{at}nhs.net

Abstract

Oral focal mucinosis (OFM) is an extremely rare, benign oral soft tissue condition; less than 10 documented cases have been reported in the literature in patients under 18 years old. OFM has an unknown aetiology and predominantly presents in the fourth and fifth decades. The pathogenesis of OFM may be due to fibroblast overproduction of hyaluronic acid. Clinically, it remains almost impossible to diagnose definitively, due to its lack of pathognomonic features, therefore such lesions may have multiple differential diagnoses and histological analysis is essential to confirm OFM. We present an unusual presentation of OFM in a 14-year-old female patient. Following excision, focal myxoid degeneration of the connective tissue was apparent. This case highlights this rare condition for consideration in differential diagnosis of clinically similar lesions.

  • dentistry and oral medicine
  • mouth
  • oral and maxillofacial surgery
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Footnotes

  • Contributors I can confirm that I have been involved in the conception and design of the case report, drafting the article or revising it critically for important intellectual content, final approval of the version published, and agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. AC did planning, reporting, literature review, writing of manuscript, editing manuscript and submission of the manuscript. JENW did planning, reporting and writing of the manuscript. CEW did initial patient assessment and diagnosis, and editing of the manuscript. SDC did planning, literature review and editing of the manuscript.

  • 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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