Eosinophilic ulcer: the role of stress-induced psychoneuroimmunologic factors.
Summary of "Eosinophilic ulcer: the role of stress-induced psychoneuroimmunologic factors."
INTRODUCTION:
Eosinophilic ulcer (EU) is a rare pathology and its etiology is still slightly known. It is a benign lesion characterized by fast-growing ulceration with elevated and indurated borders, most commonly affecting the tongue. CASE
REPORT:
The authors describe a case of EU on a lingual border that was initiated and had its clinical behavior altered by the psychological stress the patient was experiencing.
DISCUSSION:
This paper discusses the stress effects that alter the individual's immunologic response, thus attracting mast cells and eosinophils towards the mucosal epithelium, which are involved in eosinophilic ulcer. The authors make an association between eosinophilic ulcer and atopic dermatitis, two diseases that appear to have a similar, though not fully defined, etiology. The psychological stress factor was considered a predisponent factor for eosinophilic ulcer etiology and its interference in the etiology and evolution of this disease should be considered.
Affiliation
Department of Oral and Maxillofacial Surgery, School of Dentistry, University Center of Pará-CESUPA, Belém, Brazil, ribeiroalr@ig.com.br.
Journal Details
This article was published in the following journal.
Name: Oral and maxillofacial surgery
ISSN: 1865-1569
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20625784
- DOI: http://dx.doi.org/10.1007/s10006-010-0239-4
Medical and Biotech [MESH] Definitions
Stress, Psychological
Stress wherein emotional factors predominate.
Glucocorticoid-induced Tnfr-related Protein
A member of the TNF receptor family that was initially identified as a DEXAMETHASONE-induced protein from a T-CELL line. It may play a role in regulating APOPTOSIS and modulating immune response by T-lymphocytes. Signaling by the activated receptor occurs through its association with TNF RECEPTOR-ASSOCIATED FACTORS.
Mitogen-activated Protein Kinase 10
A c-jun amino-terminal kinase that is found predominantly within NEURONS of the BRAIN, suggesting a role in stress-induced neuronal APOPTOSIS. Several isoforms of the protein with molecular sizes of 47 kDa and 52 kDa exist due to multiple ALTERNATIVE SPLICING.
Dental Stress Analysis
The description and measurement of the various factors that produce physical stress upon dental restorations, prostheses, or appliances, materials associated with them, or the natural oral structures.
Stress, Physiological
The unfavorable effect of environmental factors (stressors) on the physiological functions of an organism. Prolonged unresolved physiological stress can affect HOMEOSTASIS of the organism, and may lead to damaging or pathological conditions.
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