//ALLERGIC AND IMMUNOLOGIC DISEASES 4-u1.0-B978-1-4160-2999-1..50076-X--cesec94 4-u1.0-B978-1-4160-2999-1..50076-X..DOCPDF HAIR, NAILS AND MUCOUS MEMBRANES 4-u1.0-B978-1-4160-2999-1..50076-X Chapter 71 4-u1.0-B978-1-4160-2999-1..50076-X 4-u1.0-B978-1-4160-2999-1..50076-X--cesec94 SECTION ELEVEN hubsection ALLERGIC AND IMMUNOLOGIC DISEASES chapter 4-u1.0-B978-1-4160-2999-1..50076-X--cesec130 ALLERGIC AND IMMUNOLOGIC DISEASES Chapter 71 VOLUME 1 4-u1.0-B978-1-4160-2999-1..50076-X--cesec94 VOLUME 1 hubvolume 4 4-u1.0-B978-1-4160-2999-1..50076-X Oral Disease 4-u1.0-B978-1-4160-2999-1..X5001-2--volume1 text/html; charset=ISO-8859-1 Oral Disease HAIR, NAILS AND MUCOUS MEMBRANES 4-u1.0-B978-1-4160-2999-1..X5001-2--section11 bookContent 4-u1.0-B978-1-4160-2999-1..X5001-2--volume1 4-u1.0-B978-1-4160-2999-1..X5001-2--section11 4-u1.0-B978-1-4160-2999-1..X5001-2--section11 4-u1.0-B978-1-4160-2999-1..50076-X--cesec68 6 SECTION ELEVEN section 4-u1.0-B978-1-4160-2999-1..50076-X--cesec94 Oral Disease 4-u1.0-B978-1-4160-2999-1..50076-X Chapter 71 Dermatology 978-1-4160-2999-1 Bolognia 2nd
ALLERGIC AND IMMUNOLOGIC DISEASESContact StomatitisSynonyms: | | ▪
| Oral mucosal cinnamon reaction
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| Lichenoid amalgam reaction
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| Contact lichenoid reaction
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| Key features |
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| Cinnamon flavoring and dental amalgam (silver filling material) may cause lichenoid changes of the oral mucosa
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| Red, white, or mixed lesions are seen, with varying degrees of erosion, ulceration or stria formation
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| Lesions may be located where the offending agent contacts the mucosa for a prolonged time
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| Removal of the offending agent should be curative
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IntroductionNumerous foods, artificial flavorings, food additives, and materials used in dentistry have been implicated as etiologic agents of allergic or irritant contact stomatitis (Table 71.4). Two of these, namely cinnamon flavoring (found in many foods, gums, candies and dentifrices) and amalgam (used in metallic dental fillings), may lead to unique clinicopathologic features.
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EpidemiologyThe frequency of true allergic reactions due to contact with antigenic substances is probably …
