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Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2014, vol. 20, issue 5
Subject Collection: Oral and Dental Medicine
Pages: 669-673
DOI: 10.5272/jimab.2014205.669
Published online: 09 December 2014
J of IMAB 2014 Oct-Dec;20(5):669-673
CASE OF ALOPECIA AREATA ORIGINATED FROM DENTAL FOCUS.
Atanaska Dinkova
, Donka Kirova, Galina Gavasova, Martin Drangov, Dimitar L. Gospodinov.
Department of Oral surgery, Faculty of Dental Medicine, Medical University – Plovdiv, Bulgaria.
ABSTRACT:
For many years the oral infection, especially periodontitis, is considered as a potential contributing factor to a variety of clinically important systemic diseases.
Alopecia areata (AA) is an autoimmune disease with unclear etiology and pathogenesis, rarely associated with dental foci. This disease has a strong psychological impact on the patient, because it presents with hair loss and can affect any hair-bearing area, but usually involves the face and scalp, where esthetic considerations play an important role in self perception.
In this article is presented a case of alopecia areata resulting from dental foci that was effectively resolved by eliminating a focalized dental infection via dental extraction.
In this sense, patients with AA should be subjected to careful exploration of the oral cavity in search of possible dental infections. Close collaboration between dentist, dermatologist, endocrinologist and other medical specialists in the interdisciplinary approach of diagnosis and treatment is needed.
Key words: Alopecia areata, Dental focus, Dental focal infection, Periodontitis,
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Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Dinkova A, Kirova D, Gavasova G, Drangov M, Gospodinov DL. CASE OF ALOPECIA AREATA ORIGINATED FROM DENTAL FOCUS. J of IMAB. 2014 Oct-Dec;20(5):669-673.
doi: http://dx.doi.org/10.5272/jimab.2014205.669
Correspondence to: Dr. Atanaska Dinkova, DMD; 3, Ledenuka str., 4002 Plovdiv, Bulgaria; E-mail: dinkova_asia@yahoo.com
REFERENCES:
1. Indramohan J, Karthika B, Mohiddin G. Myth of Endodontics in Oral Focal Infection. Indian J of Multidiscip Dentistry. Nov 2011 - Jan 2012; 2(1):380-382.
2. Pallasch TJ, Wahl MJ. Focal infection: new age or ancient history? Endodontic Topics. 2003 Sep;4(1):32–45. [CrossRef]
3. Gammal R. Dead teeth can affect your health. Focal infection is real. November 2012, p.1-132.
4. Pizzo G, ;Guiglia R, Lo Russo L, Campisi G. Dentistry and internal medicine: from the focal infection theory to the periodontal medicine concept. Eur J Intern Med. 2010 Dec;21(6):496-502. [PubMed] [CrossRef]
5. Wisher FP. Focal Infection, A Medico-Dental Problem. Cal West Med. 1925 Aug;23(8):977-980. [PMC]
6. Miller WD. The human mouth as a focus of infection. The Lancet. Volume 138, Issue 3546, Pages 340 - 342, 15 August 1891; Available online 28 September 2003. [CrossRef]
7. Zivković S. [Endodontic treatment in the therapy of alopecia areata.] [in Croatian] Stomatol Glas Srb. 1990 Jun;37(3):299-305. [PubMed]
8. Balcheva M, Abadjiev M. A case of alopecia areata, associated with a focus of dental origin. J of IMAB. 2009; 15(2):73-74, [CrossRef]
9. Atanasov D. (editor), Oral Surgery. Plovdiv. 2011. pp.232-233 [in Bulgarian]
10. Botushanov P. Diagnosis and treatment of diseases of oral mucosa. Plovdiv; Auto Spectar. 1997; p.56-58. [in Bulgarian]
11 . Botushanov P, Vladimirov St. Endidontics. Theory and practice. Plovdiv; Auto Spectar. 1998; p. 532-572. [in Bulgarian]
12. Teng Y-TA, Taylor GW, Scannapieco F, Kinane DF, Curtis M, Beck JD, et al. Periodontal Health and Systemic Disorders. J Can Dent Assoc. 2002 Mar;68(3):188-92 [PubMed]
13. Scannapieco FA. Position paper of The American Academy of Periodontology: periodontal disease as a potential risk factor for systemic diseases. J Periodontol. 1998 Jul;69(7):841-50. [PubMed]
14. Jacinto RC, Gomes BP, Shah HN, Ferraz CC, Zaia AA, Souza-Filho FJ. Quantification of endotoxins in necrotic root canals from symptomatic and asymptomatic teeth. J Med Microbiology. 2005 Aug;54(Pt 8):777–783. [PubMed] [CrossRef]
15. Morita T, Yamazaki Y, Mita A, Takada K, Seto M, Nishinoue N, et al. A cohort study on the association between periodontal disease and the development of metabolic syndrome. J Periodontol. 2010 Apr;81(4):512–9. [PubMed] [CrossRef]
16. Li X, Kolltveit KM, Tronstad L, Olsen I. Systemic diseases caused by oral infection. Clin Microbiol Rev. 2000 Oct;13(4):547–58. [PubMed] [CrossRef]
17. Thoden van Velzen SK, Abraham-Inpijn L, Moorer WR. Plaque and systemic disease: a reappraisal of the focal infection concept. J Clin. Periodontol. 1984 Apr;11(4):209–220. [PubMed]
18. Alkhalifah A, Alsantali A, Wang E, McElwee KJ, Shapiro J. Alopecia areata update Part I. Clinical picture, histopathology, and pathogenesis. J Am Acad Dermatol. 2010 Feb;62(2):177-188. [PubMed] [CrossRef]
19. Grossman L. Pulpless teeth and focal infection. J Endod. 1982 Jan;8(Suppl):S18-S24. [CrossRef].
20. Bonjour J. Observations on alopecia areata. Urological and Cutaneous Review. 1932; 36: 674-82.
21. Lew BL, Shin MK, Sim WY. Acute diffuse and total alopecia: A new subtype of alopecia areata with a favorable prognosis. J Am Acad Dermatol. 2009 Jan;60(1):85-93. [PubMed] [CrossRef]
22. Amin SS, Sachdeva S. Alopecia areata: A review. J Saudi Society of Derm & Derm Surgery. 2013 Jul;17(2):37-45. [CrossRef]
23. Tosti A, Bellavista S, Iorizzo M. Alopecia areata: A long term follow-up study of 191 patients. J Am Acad Dermatol. 2006 Sep;55(3):438- 441. [PubMed] [CrossRef]
24. Alkhalifah A, Alsantali A, Wang E, McElwee KJ, Shapiro J. Alopecia areata update Part II. Treatment. J Am Acad Dermatol. 2010 Feb;62(2):191- 202. [PubMed] [CrossRef]
25. Lesclous P, Maman L. An unusual case of alopecia areata of dental origin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997 Sep;84(3):290-292. [PubMed] [CrossRef].
Received: 22 September 2014
Published online: 09 December 2014