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Medical Case

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Apr 17, 2012.

  1. Egyptian Doctor

    Egyptian Doctor  Moderator Verified Doctor

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    Medical Case

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  2. João de Barros

    João de Barros Well-Known Member

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    likely to be a cocaine user!
     


  3. Gospodin Seki

    Gospodin Seki Moderator Staff Member

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    Palate perforation
     


  4. Bogdan Bezuhanet

    Bogdan Bezuhanet Well-Known Member

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    Goma sifilitica.
     


  5. Bogdan Bezuhanet

    Bogdan Bezuhanet Well-Known Member

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    Syphilis chancre
     


  6. dupuytren

    dupuytren Bronze Member

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    palatal perforation probably due to cocaine
     


  7. shecata

    shecata Well-Known Member

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    cri du chat?
     


  8. zurich

    zurich Well-Known Member

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    i think due to cocaine
     


  9. Egyptian Doctor

    Egyptian Doctor  Moderator Verified Doctor

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    Answer : Palatal Perforation
     


  10. neo_star

    neo_star Moderator

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    A case of palatal perforation

    A healthy 25-year-old man presented to the surgical clinic with a hole in the roof of his mouth that allowed nasal regurgitation of food when he ate.

    [​IMG]

    The hole had been present for a year, and he requested surgical correction. The patient reported a 5-year history of nasal cocaine use from which he had recently abstained.


    Physical examination revealed a large perforation of the nasal septum and midline palate.

    Local complications of intranasal cocaine abuse include chronic rhinitis, sinusitis, epistaxis, ossification or necrosis of the nasal septum, and in rare cases, palatal perforation.

    Use of cocaine, a potent vasoconstrictor, can lead to ischemia, necrosis, and ulceration, as seen in this case.


    Other causes of palatal perforation to consider include infection (syphilis, tuberculosis, or fungal infection), Wegener's granulomatosis, sarcoidosis, neoplasms (salivary or squamous cell), and midline lethal granuloma, a type of T-cell lymphoma.


    After consultation, the patient did not return for follow-up.


    ref -


    Cocaine-Induced Palatal Perforation


    Michael A. Lypka, M.D., D.M.D., and Mark M. Urata, M.D., D.D.S.
    N Engl J Med 2007; 357:1956November 8, 2007DOI: 10.1056/NEJMicm066935
     


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