About 154 results
Red patches on the tongue with white borders • history of geographic tongue • incompletely treated celiac disease • Dx?

Sep 17th, 2019 - Other oral and dental manifestations of celiac disease include enamel defects, delayed tooth eruption, recurrent aphthous ulcers, cheilosis, oral lichen planus, and atrophic glossitis. 10 Our patient also reported anxiety, “foggy mind,” diffuse arthralgia, and abdominal pain, which are symptoms of uncontrolled celiac disease.

Safety of ondansetron for nausea and vomiting of pregnancy

Aug 14th, 2019 - To date, although the data are conflicting, they are consistent with either a small increased risk for selected cardiac defects and perhaps cleft palate, or no increased risk at all. However, with recent data indicating that nearly one-quarter of insured pregnant women in the United States have been prescribed ondansetron in early pregnancy, there is an urgency to conduct additional rigorous st.

Management Strategies for Oral Potentially Malignant Disorders

Mar 15th, 2018 - Oral Potentially Malignant Disorders Oral potentially malignant disorders (OPMDs) include oral leukoplakia (OL), oral erythroplakia, oral submucous fibrosis, oral lichen planus, proliferative verrucous leukoplakia, and actinic keratosis. Once an OPMD has been clinically diagnosed, execution of management strategy is critical. When formulating the strategy, healthcare providers should consider h...

Risk of Oral Clefts with Topiramate May Be Dose-Dependent

Dec 30th, 2017 - Action Points The risk of oral clefts (cleft lip or palate) at birth was almost threefold higher among infants born to women exposed to topiramate compared with an unexposed group, with greater risk among women taking higher higher doses of the drug, in a study of women enrolled in Medicaid. Note that unplanned pregnancies are common, occurring at a rate of about 50%, and topiramate is not reco...

Text-message ‘blast’ can expand access to surgical services

Nov 30th, 2017 - (Reuters Health) - Dozens of patients in Zimbabwe undergoing cleft lip and palate surgery had first learned about the opportunity from an SMS text to their phones, a small study found. So-called mobile health, including text-message “blasts” to a wide swath of mobile phone users, could be the key to communicating with hard-to-reach patients in sub-Saharan Africa and other remote parts of the wo...

Text-message ‘Blast’ Can Expand Access to Surgical Services

Nov 27th, 2017 - (Reuters Health) - Dozens of patients in Zimbabwe undergoing cleft lip and palate surgery had first learned about the opportunity from an SMS text to their phones, a small study found. So-called mobile health, including text-message “blasts” to a wide swath of mobile phone users, could be the key to communicating with hard-to-reach patients in sub-Saharan Africa and other remote parts of the wo...

Anxiety, depression greatest in younger kids with facial birth defects

Oct 6th, 2017 - (Reuters Health) - Elementary school children with cleft lip, cleft palate and other facial anomalies may struggle more than older kids with anger, anxiety, depression and stress, according to a recent study. Compared to older kids and teens, those between ages 8 and 10 have the highest risk for psychosocial dysfunction, the study team reports in Plastic and Reconstructive Surgery. “The ultimat...

The American Cleft Palate- Craniofacial Association

Apr 16th, 2017 - The American Cleft Palate-Craniofacial Association (ACPA) is a non-profit (501(c)(3)) association of interested individuals and health care professionals who treat and/or perform research on oral cleft and craniofacial conditions. ACPA is unique ? it is a multidisciplinary organization of over 2,500 members who represent more than 30 disciplines in 60 countries and support patients and families...

Acute Submandibular Sialadenitis
Alan Lucerna, DO, James Espinosa, MD

Mar 7th, 2017 - Case A 21-year-old woman presented to the ED with pain and swelling on the right side of her neck. She stated the pain started earlier that morning and worsened when she ate or swallowed.

PodMed: A Medical News Roundup From Johns Hopkins

Oct 1st, 2016 - PodMed is a weekly podcast from Johns Hopkins Medicine. In it, Elizabeth Tracey, director of electronic media for Johns Hopkins Medicine, and Rick Lange, MD, president of the Texas Tech University Health Sciences Center in El Paso, look at the top medical stories of the week. This week's topics include roller coasters and kidney stones, colonoscopy in those older than 70, benefits of exercise i...

Long-term Effect of Oral Cleft Depends on Type

Sep 27th, 2016 - The prognosis for infants born with oral clefts in the absence of any other congenital anomalies largely depends on the type of cleft, according to a population-based cohort study conducted among nearly 1.5 million individuals in Norway. At approximately 30 years of age, individuals born with a cleft lip, with or without cleft palate, did not have an elevated risk for death and had fairly small...

No Excess Risk for Orofacial Cleft in Lamotrigine-Exposed Babies

Apr 6th, 2016 - Despite a previous signal of increased risk, a new study has confirmed that babies born to mothers who took the antiepileptic drug (AED) lamotrigine during pregnancy don't appear to have an excess risk for orofacial cleft (OC). Earlier research published by Holmes et al in 2008 uncovered a six-fold risk for OCs, specifically of cleft palate, in babies exposed to lamotrigine during pregnancy. Bu...

Cleft Surgery Boosts Economy, Gives Developing Nations Reason to Smile - Charity

Mar 24th, 2016 - DAKAR (Thomson Reuters Foundation) - Born in Ghana with a cleft lip and palate, baby Kodjo was on the brink of being drowned in a river by his family in a religious sacrifice until a passing villager intervened. The baby, who had been unable to feed properly due to the birth defect and was considered cursed because of it, was sent to local cleft surgeon Solomon Obiri-Yeboah, who repaired the sp...

Certain birth defects linked to abuse of infants and toddlers

Nov 30th, 2015 - (Reuters Health) - Babies with certain birth defects are much more likely to be abused as infants and toddlers than other young children, a U.S. study suggests. Babies with malformations of the mouth and jaw known as cleft lip and palate were 40 percent more likely to be abused by their second birthday than those born without birth defects, the analysis of about 3 million children in Texas foun...

Viral illness often precedes genital aphthous ulcers in adolescents

May 5th, 2015 - The investigators designed the study to shed some light on AGUs, as the available literature is limited, and many providers may not be familiar with the evaluation and management of patients with AGUs, they said. The findings demonstrate that AGUs occur most often in postmenarcheal adolescents vs.

A Natural Remedy for Canker Sores?

Oct 15th, 2014 - Efficacy of Honey in Comparison to Topical Corticosteroid for Treatment of Recurrent Minor Aphthous Ulceration: A Randomized, Blind, Controlled, Parallel, Double-Center Clinical Trial El-Haddad SA, Asiri FY, Al-Qahtani HH, Al-Ghmlas AS Quintessence Int. 2014;45:691-701 Study Summary Aphthous ulcers (canker sores) are among the most common oral soft tissue diseases encountered in clinical dental...

TNF Inhibitor Therapy Effective for Behcet's Disease Uveitis

Jul 20th, 2014 - NEW YORK (Reuters Health) - When uveitis due to Behcet's disease fails to respond to conventional therapy, anti-TNF-alpha therapy may help, according to a Spanish study. Anti-TNF-alpha therapy was "effective and relatively safe" in patients with Bechet's disease uveitis refractory to conventional treatment, including high-dose corticosteroids and at least one immunosuppressant, the researchers ...

Nausea Drug Safe During Pregnancy

Oct 15th, 2013 - Action Points There was no association between metoclopramide exposure in pregnancy and an increased risk of birth defects, spontaneous abortion, and stillbirth. Note that the study found no significant associations between the drug and any of 20 individual malformation categories, including neural tube defects, transposition of the great vessels, ventricular septal defect, limb reduction, and ...

Most steroid skin creams likely safe during pregnancy

Sep 13th, 2013 - NEW YORK (Reuters Health) - Expectant mothers can use corticosteroid creams for irritated skin without putting their fetus at risk, except for large amounts of very strong creams, a new study suggests. In general, using those ointments during pregnancy was not linked to babies’ chances of having cleft palate, being born early or small or any other measured negative outcome, researchers found. T...

Maternal PAH Exposure Linked to Higher Infant Cleft Risk

Apr 16th, 2013 - Pregnant women's workplace exposure to polycyclic aromatic hydrocarbons (PAHs) is associated with an increased risk for their babies having cleft lip with or without cleft palate, according to an article published in the May issue of the Cleft Palate-Craniofacial Journal. Peter H. Langlois, PhD, an epidemiologist from the Texas Center for Birth Defects Research and Prevention in Austin, and col...