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Son las alteraciones en la mucosa oral un signo de COVID-19? Estudio transversal en un Hospital de Campaña
Actas dermo-sifiliográficas, 2021-07, Vol.112 (7), p.640-644
[Peer Reviewed Journal]
2021 AEDV ;ISSN: 0001-7310 ;DOI: 10.1016/j.ad.2021.02.007
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Title:
Son las alteraciones en la mucosa oral un signo de COVID-19? Estudio transversal en un Hospital de Campaña
Author:
Nuño González, A.
;
Magaletskyy, K.
;
Martín Carrillo, P.
;
Lozano Masdemont, B.
;
Mayor Ibarguren, A.
;
Feito Rodríguez, M.
;
Herranz Pinto, P.
Subjects:
Aftas
;
Alteraciones orales
;
Anterior lingual papillitis
;
Aphthae
;
Coronavirus
;
COVID-19
;
Disgeusia
;
Dysgeusia
;
Edema lingual
;
Enantema
;
Enanthema
;
Macroglosia
;
Macroglossia
;
Manifestaciones orales
;
Mucositis
;
Oral changes
;
Oral manifestations
;
Papilitis
;
Papilitis lingual anterior
;
Papillitis
;
Swollen tongue
Is Part Of:
Actas dermo-sifiliográficas, 2021-07, Vol.112 (7), p.640-644
Description:
[Display omitted] La enfermedad por coronavirus-19 (COVID-19) se ha relacionado con múltiples síntomas: respiratorios, trombóticos, neurológicos, digestivos o cutáneos. Estos últimos se han clasificado en 5 tipos: lesiones acroisquémicas, lesiones vesiculares, erupción urticarial, exantema maculopapular o lesiones livedoides. Sin embargo, se han descrito mucho menos las alteraciones orales asociadas a la COVID-19. Presentamos un estudio transversal realizado durante abril del 2020 en el Hospital de Campaña de IFEMA examinando la mucosa oral de 666 pacientes con COVID-19. En total, 78 pacientes (11,7%) presentaron alteraciones en la mucosa oral. La más frecuente fue papilitis lingual transitoria anterior en forma de U (11,5%) asociada o no a edema lingual (6,6%); estomatitis aftosa (6,9%), mucositis (3,9%) glositis con depapilación en parches (3,9%), boca urente (5,3%), lengua saburral (1,6%) y enantema (0,5%). La mayoría refería disgeusia asociada. La cavidad oral se puede alterar por la enfermedad COVID-19, el edema lingual con papilitis lingual transitoria en forma de U o la glositis con depapilación en parches son los signos encontrados con mayor frecuencia, al igual que la sensación de ardor en la cavidad oral o boca urente. Otras manifestaciones orales que se pueden asociar a la COVID-19 son mucositis con o sin aftas o el enantema. Todos pueden ser signos clave para un diagnóstico de esta enfermedad. Coronavirus disease 19 (COVID-19) has many manifestations, including respiratory, thrombotic, neurologic, digestive, and cutaneous ones. Cutaneous manifestations have been classified into 5 clinical patterns: acro-ischemic (pseudo-chilblain), vesicular, urticarial, maculopapular, and livedoid. Oral manifestations have also been reported, but much less frequently. We performed a cross-sectional study in which we examined the oral mucosa of 666 patients with COVID-19 at the IFEMA field hospital in Madrid in April 2020. Seventy-eight patients (11.7%) had changes involving the oral mucosa. The most common were transient anterior U-shaped lingual papillitis (11.5%) accompanied or not by tongue swelling (6.6%), aphthous stomatitis (6.9%), a burning sensation in the mouth (5.3%), mucositis (3.9%), glossitis with patchy depapillation (3.9%), white tongue (1.6%), and enanthema (0.5%). Most of the patients also reported taste disturbances. COVID-19 also manifests in the oral cavity. The most common manifestations are transient U-shaped lingual papillitis, glossitis with patchy depapillation, and burning mouth syndrome. Mucositis with or without aphthous ulcers or enanthema may also be observed. Any these findings may be key clues to a diagnosis of COVID-19.
Publisher:
Elsevier España, S.L.U
Language:
Spanish
Identifier:
ISSN: 0001-7310
DOI: 10.1016/j.ad.2021.02.007
Source:
Directory of Open Access Journals
Alma/SFX Local Collection
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