著者

金生 茉莉 藤田 康平 池浦 一裕 加藤 伸 小高 利絵 高森 康次 中川 種昭 角田 和之

出版者

日本口腔内科学会

雑誌

日本口腔内科学会雑誌 (ISSN:21866147)

巻号頁・発行日

vol.24, no.2, pp.41-45, 2018 (Released:2019-06-30)

参考文献数

14

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Laugier-Hunziker-Baran症候群(LHB)は,口腔,指趾の色素沈着と爪甲色素線条を特徴とし,全身症状を伴わない後天性疾患である。今回,経過観察中に症状推移の観察が可能であったLHB症候群の1例を経験した。71歳女性で初診時,下唇,頬粘膜に黒褐色色素斑があった。4年経過時に粘膜色素斑の増悪と指趾,爪甲色素線条が発生した。全身検索の結果LHBの診断となった。口腔粘膜色素斑の診断には全身疾患の精査と慎重な経過観察が重要である。

著者

池田 浩子 今井 昇 井川 雅子 岩井 謙 道端 彩 高森 康次

出版者

日本口腔顔面痛学会

雑誌

日本口腔顔面痛学会雑誌 (ISSN:1883308X)

巻号頁・発行日

vol.10, no.1, pp.55-63, 2017 (Released:2019-04-24)

参考文献数

34

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症例の概要:72歳男性.咀嚼時の両側咬筋の疲労感・開口障害による咀嚼困難を主訴に口腔外科を受診した.顎跛行,開口障害,複視,めまい,体重減少,間歇的な頭皮の痛みなどの症状が認められたため,精査目的に専門施設(神経内科)を紹介した.頸動脈エコー,側頭動脈生検の結果,巨細胞性動脈炎と診断された.ステロイド治療が施行され,速やかに症状の改善が認められた.考察:巨細胞性動脈炎は頭痛以外にも多彩な症状を呈する.顎顔面領域にも顎跛行や開口障害など様々な症状が発現するため歯科を受診する可能性も高いと考えられる.巨細胞性動脈炎が呈する症状のうち,顎跛行,複視,側頭動脈の拡大・圧痛・拍動消失は陽性尤度比の高い症状とされており,そのような症状が認められた場合は速やかに専門施設へ紹介することが重要である.そのためには歯科医師も巨細胞性動脈炎の病態を正確に理解しておく必要性があると考えた.結論:顎跛行および開口障害を主訴に口腔外科を受診し複視,めまい,体重減少,間歇的な頭皮の痛みおよびリウマチ性多発筋痛症の合併も考慮された巨細胞性動脈炎の症例を経験した.

著者

永井 哲夫 藤野 雅美 若林 類 角田 博之 高森 康次 角田 和之 高木 謙一 中川 種昭 宮岡 等 片山 義郎

出版者

日本歯科心身医学会

雑誌

日本歯科心身医学会雑誌 (ISSN:09136681)

巻号頁・発行日

vol.18, no.1, pp.37-40, 2003

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A 53-year old woman complained of a diverse range of symptoms, including sharp pain at the side and root of the tongue, feelings of anxiety, parching, depression, and exhaustion, and early-morning awakening. She had a high score of D on the Minnesota Multiphasic Personality Inventory (MMPI), and was diagnosed as suffering from light depression. Treated with 50mg/day of fluvoxamin, the insomnia was relieved after two weeks, the feelings of depression after four, and all symptoms, including the glossal pain, after eight. The dose was gradually reduced and then stopped altogether after six months. Fluvoxamin is easy to use in the ordinary dental clinical environment because it has almost no anticholinergic effects or cardiovascular side effects. It is thought to show promise for use as a medication for treating a variety of complaints in the oral area.

著者

角田 博之 宮岡 等 高木 謙 角田 和之 高森 康次 永井 哲夫 中川 種昭 藤野 雅美 片山 義郎

出版者

Japanese Society of Psychosomatic Dentistry

雑誌

日本歯科心身医学会雑誌 (ISSN:09136681)

巻号頁・発行日

vol.18, no.2, pp.85-88, 2003-12-25 (Released:2011-09-20)

参考文献数

7

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“Adolescent paranoia” includes phobias of emitting foul odor from one's own body, fear of eye-to-eye confrontation and dysmorphophobia.A 21-year old man visited the department of dentistry of our hospital complaining of foul breath, whose concern about his odor was delusional. He also exhibited “egorrhea” symptoms, such as fear of eye-to-eye confrontation and monologue, and was diagnosed as having adolescent paranoia by a psychiatrist. The patient had started avoiding people, shut himself away in his room and talked to himself from the age of 15 or 16, after initially becoming concerned about his pimples. He also became concerned about foul breath and having suspicious eyes from the age of 17, felt that others were avoiding him, and became self-recriminatory. He later presumed that his thoughts were being expressed by his mouth contrary to his will.The self-rating questionnaire for assessing the severity of phobia of emitting foul breath received a high score of 36 out of 40. The questionnaire indicated the delusion of having halitosis, delusion of reference and poor social adaptability. He was, accordingly, diagnosed as suffering from Group III (severe) type of phobia of emitting foul breath. On the day of his first visit, he was also examined by a psychiatrist, and diagnosed as having adolescent paranoia and administered 1 mg of risperidone.This patient's symptoms suggested the possibility of schizophrenia. Thus it was preferable to pay attention to other symptoms of schizophrenia and the patient was therefore observed carefully.Dentists are likely to receive outpatients of this type who require immediate referral to psychiatrists. The case of this patient demonstrates the importance of an accurate differential diagnosis regarding complaints of emitting foul breath.

著者

永井 哲夫 角田 博之 宮岡 等 高森 康次 岩渕 博史 角田 和之 片山 明彦 片山 義郎 海老原 務 藤野 雅美

出版者

Japanese Society of Psychosomatic Dentistry

雑誌

日本歯科心身医学会雑誌 (ISSN:09136681)

巻号頁・発行日

vol.15, no.2, pp.143-148, 2000-12-25 (Released:2011-09-20)

参考文献数

15

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In order to characterize the severity of psychosomatic features of the patients who maintain the false conviction of the foulness of their own breath, thirty subjects (10 men and 20 women, aged 13 to 66) were interviewed by trained dentists and psychiatrists.The patients were classified in three types (Class 1 to 3) according to the degree of their cognition of foul breath, ideas of reference, delusion of reference and social adaptation. Class 1 patients were those who were cocerned about foul breath but showed no idea or delusion of reference and had good social adaptation. Class 2 patients were convinced of the foulness of their breath and had idea of reference and problems of social adaptation. The patients most strongly convinced of the foulness of their breath were placed in Class 3.The patients in this criteria had idea of reference, delusion of reference, and hallucination indicating poor social adaptation. The role of dentists in the treatment plan for imagined foul breath can be decided by the classification of the severity of the syndrome. Class 1 patients who sometimes need anti-anxiety drugs can be treated by dentists, but treatment of Class 2 patients who need antipsychotics should be conducted in cooperation with psychiatrists. The treatment of Class 3 patients should be mainly conducted by psychiatrists, but dentists can provide support for the continuation of the treatment.

著者

岩渕 博史 岩渕 絵美 内山 公男 高森 康次 永井 哲夫 田中 陽一

出版者

社団法人 日本口腔外科学会

雑誌

日本口腔外科学会雑誌 (ISSN:00215163)

巻号頁・発行日

vol.52, no.12, pp.703-707, 2006-12-20 (Released:2011-04-22)

参考文献数

21

被引用文献数

1 1

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Glandular odontogenic cyst (GOC) was first proposed by Gardner et al in 1988 as an infrequent developmental epithelial cyst occurring in jaw bones. We describe our experience with a case of GOC arising in the mandible and report the clinical course. The patient was 52-year-old woman with clearly bordered multilocular radiolucent lesions in bothsides of the mandibular premolar region. These cysts were extirpated, and the specimens were studied by routine pathological examination and immunohistochemical staining with cytokeratins. The diagnosis was established to be GOC. The cyst recurred 3.5 years after surgery, and reoperation was performed.

著者

岩渕 博史 岩渕 絵美 内山 公男 高森 康次 永井 哲夫 田中 陽一

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.52, no.12, pp.703-707, 2006-12-20

被引用文献数

2 1

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Glandular odontogenic cyst (GOC) was first proposed by Gardner et al in 1988 as an infrequent developmental epithelial cyst occurring in jaw bones. We describe our experience with a case of GOC arising in the mandible and report the clinical course. The patient was 52-year-old woman with clearly bordered multilocular radiolucent lesions in bothsides of the mandibular premolar region. These cysts were extirpated, and the specimens were studied by routine pathological examination and immunohistochemical staining with cytokeratins. The diagnosis was established to be GOC. The cyst recurred 3.5 years after surgery, and reoperation was performed.