歯牙感染症の病巣と酒さの関連性：1症例報告

Association of dental foci of infection and rosacea: a case report.

• Mirlinda Sopi
• Kastriot Meqa

抄録

酒さは皮膚の慢性炎症性疾患で、発疹、膿疱、丘疹、血管の拡張などが特徴です。病因は不明で、男性よりも女性に多い。本疾患の原因としては、歯周病変が最も多く、歯槽骨周囲病変が最も多いとされている。本報告の目的は，歯周病巣としての歯周病変と酒さとの関係を検討することである．50歳の女性が顔面の発赤を訴え，消化器内科でヘリコバクター・ピロリ菌の治療を，皮膚科で酒さ病の治療を受けていた．臨床検査，レントゲン検査，検査室検査の結果，歯牙病巣の疑いが浮上した．4,5,12,15,18番の歯の残根を抜歯し，16,29,31番の歯を歯内療法で治療した．歯の治療から1年後には顔面の赤みはすべて治り，すべての治療を中止し，臨床検査値は正常であった．

Rosacea, a chronic inflammatory disease of the skin, is characterized by rash, pustules, papules, and dilated blood vessels. The etiology is unknown, and the disease is more common among women than among men. Among the proposed causes of this disorder are dental foci of infection, with periapical lesions the most common pathologic lesion in the alveolar bone. The aim of this report is to examine the possible relationship between periapical lesions as dental foci and rosacea. A 50-year-old woman reported redness in her face, for which she had been treated by a gastroenterologist for Helicobacter pylori and a dermatologist for rosacea. After clinical, radiographic, and laboratory examinations, suspicions of dental foci were raised. The residual roots of teeth 4, 5, 12, 15, and 18 were extracted, and teeth 16, 29, and 31 underwent endodontic treatment. One year after dental treatment, all signs of redness in the patient's face had healed, she stopped all treatments, and her laboratory values were normal.