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An unusual presentation of oropharyngeal mucosal plasmacytosis related to toothpaste

Published online by Cambridge University Press:  25 September 2007

D C Tong ,
M R Leaper ,
A N Colquhoun  and
A M Rich
D C Tong*
Affiliation:
Department of Oral Diagnostic and Surgical Sciences, School of Dentistry, University of Otago, Dunedin, New Zealand
M R Leaper
Affiliation:
Department of Otolaryngology, Dunedin Hospital, Dunedin, New Zealand
A N Colquhoun
Affiliation:
Department of Oral and Maxillofacial Surgery, Waikato Hospital, Hamilton, New Zealand
A M Rich
Affiliation:
Department of Oral Diagnostic and Surgical Sciences, School of Dentistry, University of Otago, Dunedin, New Zealand
*
Address for correspondence: Mr D C Tong, Consultant Oral and Maxillofacial Surgeon, Dept of Oral Diagnostic and Surgical Sciences, PO Box 647, Dunedin, New Zealand. Fax: 64 3 479 3937 E-mail: darryl.tong@stonebow.otago.ac.nz
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Abstract

Objective:

We present the case of a 59-year-old Chinese patient with an unusual presentation of mucosal plasmacytosis involving the oropharynx, related to the use of toothpaste.

Method:

Case presentation and review of English medical literature involving mucosal plasmacytosis.

Results:

Mucosal plasmacytosis is an uncommon disease process and has been associated with hypersensitivity reactions. Most cases involve the gingival mucosa, although there have been reports of cases involving other oral mucosal sites and the upper aerodigestive tract. Our case provides an example of oropharyngeal plasmacytosis related to toothpaste. A resolution of signs and symptoms followed withdrawal of the suspected allergens.

Conclusion:

Mucosal plasmacytosis is a benign inflammatory process that may appear to be more sinister on clinical examination. Skin patch testing is a useful adjunct in confirming the diagnosis.

Keywords

Oral CavityMucosa, HypersensitivityToothpaste
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 10 , October 2008 , pp. 1112 - 1114
Copyright
Copyright © JLO (1984) Limited 2008

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