著者

深谷 千絵 矢郷 香 大塚 志穂 岡田 明子 中川 種昭 朝波 惣一郎

出版者

Japanese Society of Oral and Maxillofacial Surgeons

雑誌

日本口腔外科学会雑誌 (ISSN:00215163)

巻号頁・発行日

vol.50, no.10, pp.624-627, 2004-10-20 (Released:2011-04-22)

参考文献数

10

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Concool F®is a chemical mouthwash containing chlorhexidine gluconate that is used for the treatment of periodontal disease and halitosis. We report a case of gingival necrosis caused by incorrect use of Concool F®A 52-year-old woman was referred to our hospital because of gingival necrosis. One week before presentation, she went to sleep after putting a cotton roll soaked in a large amount of Concool F®solution (0.36 % chlorhexidine gluconate) on the upper gingiva to reduce bad breath. She noticed bleeding and a painful ulcer in the upper gum from the maxillary right lateral incisor to the left second premolar.Whenever a mouthwash agent containing chlorhexidine gluconate is used, we must be cautious about its usage and dosage and instruct the patients on proper use.

著者

村岡 渡 井川 雅子 今井 昇 池内 忍 朝波 惣一郎 中川 種昭

出版者

Japanese Society of Oral and Maxillofacial Surgeons

雑誌

日本口腔外科学会雑誌 (ISSN:00215163)

巻号頁・発行日

vol.50, no.10, pp.585-588, 2004-10-20 (Released:2011-04-22)

参考文献数

19

被引用文献数

1 2

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Temporal arteritis, also referred to as giant cell arteritis, is a rare disease in Japan. The epidemiological investigation performed by the Ministry of Health and Welfare in Japan in 1998 reported that temporal arteritis occurred at a frequency of 0.65 cases per 100, 000 population. The first symptoms, according to this report, were headache, usually in the temporal region, accompanied by fever, weight loss, and visual disturbance.A 78-year-old woman with temporal arteritis who had a chief complaint of jaw claudication is reported. Her symptoms at first consultation were bilateral temporal tenderness, funicular swelling of the superficial temporal artery, and an increased erythrocyte sedimentation rate. Because temporal arteritis was suspected, the patient was referred to a neurologist. After admission to the department of neurology, the right temporal artery showed an embolus on digital subtraction angiography and the left temporal artery showed constriction; a biopsy of the right temporal artery was therefore performed by an otolaryngologist. Histopathological examination showed a granulomatous inflammatory lesion with mononuclear cell infiltration associated with Langhans' type giant cells, involving mainly the tunica intima. By the early diagnosis of temporal arteritis and immediate steroid administration, these symptoms markedly improved within 48 hours, and no signs or symptoms have been observed subsequently.

著者

大塚 志穂 矢郷 香 大塚 友乃 岡田 明子 岡田 豊 中川 種昭 朝波 惣一郎

出版者

日本口腔内科学会

雑誌

日本口腔粘膜学会雑誌 (ISSN:13417983)

巻号頁・発行日

vol.10, no.2, pp.30-35, 2004-12-30 (Released:2010-02-25)

参考文献数

24

被引用文献数

1 1

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アンギオテンシン変換酵素 (以下ACE) 阻害剤は, まれに副作用として顔面, 口腔粘膜などの血管神経性浮腫を惹起する。呼吸困難を生じることもあり, 浮腫が咽頭部に及ぶと生命の危険性もある。今回われわれは, ACE阻害剤が原因として疑われた舌・口底部の血管神経性浮腫を経験したので報告する。患者は88歳, 女性で, 主訴は呼吸苦をともなう舌の腫脹であった。ACE阻害剤中止後, 1年4か月現在, 舌・口底部の浮腫の再発は認めていない。

著者

朝波惣一郎編著 : 大浦清編著

出版者

クインテッセンス出版

巻号頁・発行日

2005