北京大学学报(医学版) ›› 2025, Vol. 57 ›› Issue (3): 620-625. doi: 10.19723/j.issn.1671-167X.2025.03.030

• 短篇论著 • 上一篇    

口腔黏膜嗜酸性溃疡的临床病理分析

朱慧1, 闵赛南1, 苏家增1, 陈艳2, 彭歆1, 于尧1, 俞光岩1,*()   

  1. 1 北京大学口腔医学院·口腔医院 口腔颌面外科, 国家口腔医学中心, 国家口腔疾病临床医学研究中心, 口腔生物材料和数字诊疗装备国家工程研究中心, 口腔数字医学北京市重点实验室, 国家卫生健康委员会口腔医学计算机应用工程技术研究中心, 北京 100081
    2 北京大学口腔医学院·口腔医院 病理科, 国家口腔医学中心, 国家口腔疾病临床医学研究中心, 口腔生物材料和数字诊疗装备国家工程研究中心, 口腔数字医学北京市重点实验室, 国家卫生健康委员会口腔医学计算机应用工程技术研究中心, 北京 100081
  • 收稿日期:2024-02-05 出版日期:2025-06-18 发布日期:2025-06-13
  • 通讯作者: 俞光岩

朱慧1, 闵赛南1, 苏家增1, 陈艳2, 彭歆1, 于尧1, 俞光岩1,*()   

  • Received:2024-02-05 Online:2025-06-18 Published:2025-06-13
  • Contact: 俞光岩

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关键词: 口腔黏膜嗜酸性溃疡, 鳞状细胞癌, 嗜酸粒细胞增生性淋巴肉芽肿

中图分类号: 

  • R781.5

表1

6例口腔黏膜嗜酸性溃疡患者临床资料"

Case Gender Age/years Duration/weeks Location Range/(cm×cm) Etiology EO(×109/L) Clinical impression Management Follow-up/months Recurrence Times of other ulcers*
1 M 30 1 The dorsum of the tongue 2.0×1.5 Stab 1.66↑ Malignant tumor? Resection 12 No 3
2 F 60 12 Lateral margin of the tongue 1.5×1.0 Psychological 0.03 Malignant tumor Biopsy 24 No 2
3 M 10 4 Buccal mucosa 2.0×2.0 None - Malignant tumor Biopsy 66 No 0
4 F 57 2 Lateral margin of the tongue 1.5×1.0 None - Malignant tumor Biopsy 54 No 0
5 M 0.5 8 The belly of the tongue 1.5×1.0 Incisor rubbing 0.85↑ Tumor? Resection 42 No 4
6 M 49 1.5 Lateral margin of the tongue 4.0×3.0 Bite 0.07 Tumor or infection? Biopsy 11 No 0

图1

病例1,舌背黏膜溃疡,表面覆盖假膜,周缘隆起"

图2

病例1,CT显示舌背轻度强化圆形软组织肿物影(箭头示)"

图3

病例1,切除舌背病变,拉拢缝合"

图4

病例1的组织病理学表现"

图5

病例2,右舌侧缘溃疡"

图6

病例2的组织病理学表现"

1
Mezei MM , Tron VA , Stewart WD , et al. Eosinophilic ulcer of the oral mucosa[J]. J Am Acad Dermatol, 1995, 33 (5 Pt 1): 734- 740.
2
Segura S , Pujol RM . Eosinophilic ulcer of the oral mucosa: A distinct entity or a non-specific reactive pattern[J]. Oral Dis, 2008, 14 (4): 287- 295.

doi: 10.1111/j.1601-0825.2008.01444.x
3
Elzay RP . Traumatic ulcerative granuloma with stromal eosinophilia(Riga-Fede's disease and traumatic eosinophilic granuloma)[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 1983, 55 (5): 497- 506.

doi: 10.1016/0030-4220(83)90236-0
4
Akhavan A , Mosavi A , Jarrahi M , et al. Eosinophilic ulcer of the tongue in an 80-year-old Iranian woman after a psychologically stressful event[J]. BMJ Case Rep, 2013, 2013, bcr2012008487.

doi: 10.1136/bcr-2012-008487
5
Ribeiro AL , Mendes FR , Alves Sde M , et al. Eosinophilic ulcer: The role of stress-induced psychoneuroimmunologic factors[J]. J Oral Maxil Surg, 2011, 15 (3): 179- 182.

doi: 10.1007/s10006-010-0239-4
6
Melgarejo Moreno PJ , Hellín Meseguer D , Ruiz Macía JA . Eosinophilic ulcers of the tongue as an adverse reaction to carbamazepine[J]. An Otorrinolaringol Ibero Am, 1998, 25 (2): 167- 171.
7
el-Mofty SK , Swanson PE , Wick MR , et al. Eosinophilic ulcer of the oral mucosa.Report of 38 new cases with immunohistochemical observations[J]. Oral Surg Oral Med Oral Pathol, 1993, 75 (6): 716- 722.

doi: 10.1016/0030-4220(93)90429-8
8
Dash S , Sarkar N , Sethy M , et al. An ulcer on the tongue of a child[J]. Pediatr Dermatol, 2023, 40 (6): 1130- 1132.

doi: 10.1111/pde.15332
9
Rakocz M , Frand M , Brand N . Familial dysautonomia with RigaFede's disease: Report of case[J]. ASDC J Dent Child, 1987, 54 (1): 57- 59.
10
Hamie L , Hamie M , Kurban M , et al. Eosinophilic ulcer of the oral mucosa: An update on clinicopathologic features, pathogenesis, and management[J]. Int J Dermatol, 2022, 61 (11): 1359- 1363.

doi: 10.1111/ijd.15986
11
Vélez A , Alamillos FJ , Dean A , et al. Eosinophilic ulcer of the oral mucosa: Report of a recurrent case on the tongue[J]. Clin Exp Dermatol, 1997, 22 (3): 154- 156.

doi: 10.1111/j.1365-2230.1997.tb01047.x
12
Rosa DE , Hapid MH , Hidayat W . Non-healing chronic traumatic ulcer, an entity that can resemble other chronic ulcers[J]. Int Med Case Rep J, 2023, 16, 585- 590.
13
Lee CC , Yu KH , Chan TM . Kimura's disease: A clinicopathological study of 23 cases[J]. Front Med(Lausanne), 2022, 9, 1069102.
14
Teraki Y , Terao A . Treatment of Kimura disease with dupilumab[J]. JAMA Dermatol, 2022, 158 (3): 329- 330.

doi: 10.1001/jamadermatol.2021.5885
15
Almoznino G , Zini A , Mizrahi Y , et al. Elevated serum IgE in recurrent aphthous stomatitis and associations with disease characteristics[J]. Oral Dis, 2014, 20 (4): 386- 394.

doi: 10.1111/odi.12131
16
Criado PR , Miot HA , Ianhez M . Eosinophilia and elevated IgE serum levels: A red flag: When your diagnosis is not a common atopic eczema or common allergy[J]. Inflamm Res, 2023, 72 (3): 541- 551.

doi: 10.1007/s00011-023-01690-7
17
Capodiferro S , Tempesta A , Limongelli L , et al. Primary orofacial manifestations of langerhans cell histiocytosis in pediatric age: A bi-institutional retrospective study on 45 cases[J]. Children(Basel), 2020, 7 (9): 104.
18
Nguyen T , Yaghsezian A , Lin YL , et al. An unusual case of cluster of differentiation 30-positive T-cell lymphoproliferative disorder manifesting as mandibular gingival ulceration: A case report[J]. J Am Dent Assoc, 2022, 153 (2): 175- 182.
19
Benitez B , Mülli J , Tzankov A , et al. Traumatic ulcerative granuloma with stromal eosinophilia-clinical case report, literature review, and differential diagnosis[J]. World J Surg Oncol, 2019, 17 (1): 184.
20
Mohamad AF , Abdul Rahman NR , Ch'ng ES . A case report of traumatic ulcerative granuloma with stromal eosinophilia (TUGSE): Clinical and histopathological diagnostic challenges[J]. Cureus, 2023, 15 (11): e48481.
21
Setti G , Martella E , Mancini C , et al. Self-healing CD30-T-clonal proliferation of the tongue: Report of an extremely rare case[J]. BMC Oral Health, 2019, 19 (1): 186.
22
Rahmatpour Rokni G , Sonthalia S , Rathod D , et al. Eosinophilic ulcer mimicking malignancy of the lower lip: A case report[J]. Clin Case Rep, 2020, 8 (5): 804- 807.
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