Signs and symptoms of contact allergic reactions affecting the oral mucosa can mimic other common oral disorders, making diagnosis difficult. The most commonly affected site was the gingiva, which showed diffuse or generalized erythema and epithelial sloughing. Access scientific knowledge from anywhere. 2016 Sep 1;14(1):10. doi: 10.1186/s12948-016-0047-y. (c) and (d): Complete remission of the lesions after discontinuance We report here the case of a patient who was diagnosed with alllergic contact stomatitis due to. Oral Surg Oral Med Oral Pathol Oral Radiol. From the previous results, it can be concluded that ACE has the potentiality preventing oral cancer initiation better than inhibiting oral cancer progression. doi: 10.1001/archderm.141.11.1466-c. Clinicians will be able to recognize this disorder following a careful clinical examination and detailed history. Health-care practitioners should caution patients against mixing herbs and pharmaceutical drugs. This recognition is important in order to avoid invasive and expensive diagnostic procedures. The vast majority of cases are associated with consumption of products containing cinnamaldehyde or cinnamon essential oil, which are used as flavourings because of their pleasant taste and sensation of freshness. BACKGROUND:Cinnamon contact stomatitis (CCS) is a rare reaction to the use of products containing artificial cinnamon flavor ingredients. Currently, there is very little information published on herb-herb or herb-drug interactions as compared to the use of herbs which is progressively growing across the world. (a): Detachable white-yellowish plaque with…, (a): Detachable white-yellowish plaque with a slightly erythematous mucosa beneath it, located on…, (a) and (b): Recurrence of the lesions on the palate, but more evident…, NLM There is difficulty in diagnosing allergic contact, Allergic contact stomatitis is a rare disorder that is unfamiliar to most clinicians. The most common cause in the 37 cases was toothpaste; other causes were chewing gum and foods. Epub 2013 Sep 4. COVID-19 is an emerging, rapidly evolving situation. 2005;52(1):46–47. Epub 2017 Jan 13. Each of these lesions have microscopic findings that can assist in patient management. firstly reported the oral contact allergy (i.e., cinnamon contact stomatitis) of cinnamon flavored products in 1976 [243]. I have read and accept the Wiley Online Library Terms and Conditions of Use. Age range was 0.3–3.6 years. Assoc. Each subject chewed gum under supervision for 20 minutes at 60 chews/minute. K. Scherer. Dentrifice-related stomatitis, contact reactions to amalgam and cinnamon can cause keratotic lesions. We also proposed an algorithm to perform a diagnosis of CCS as in the previous published literature the diagnostic approach was not based on a harmonized and shared evidence-based procedure. Prognosis for recovery is good with supportive care. Cinnamon contact stomatitis is believed to represent a form of intraoral contact allergy, a ... Clinicians who treat patients with oral conditions should be aware of CCS in order to be able to correctly diagnose and manage the disease based on clinical examination and history limiting invasive and expensive investigations. 7-2a). Many reports of herb-drug interactions are sketchy and lack laboratory analysis of suspect preparations. cinnamic aldehyde but with natural flavors (CinA-); and 3) non-sugared chewing gum base (GB) without any flavors and without cinnamic aldehyde. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Allergic contact stomatitis to cinnamon in chewing gum mistaken as facial angioedema. Cinnamon may elicit delayed type hypersensitivity mimicking angioedema. Of relevance, both clinical features and the histopathologic findings of this condition are nonspecific, and, more importantly, may resemble some other inflammatory oral mucosa disorders, eventually making diagnosis difficult. This procedure will help to get rid of the pain. Usually a patient exhibits a combination of white and erythematous patches of abrupt onset, accompanied by a burning sensation. Cinnamon-contact stomatitis; contact stomatitis; differential diagnosis; hypersensitivity; oral mucosa lesion. Clinicians will be able to recognize this disorder following a careful clinical examination and detailed history. Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Included in the discussion are frictional keratoses, irritant contact stomatitis, and smokeless tobacco keratoses. erythematous mucosa beneath it, located on the palate. Get the latest public health information from CDC: https://www.coronavirus.gov. Clin Oral Investig. Calapai G, Miroddi M, Mannucci C, Minciullo P, Gangemi S. Oral Dis. NIH with cinnamon mints. excessive or improper oral hygiene practices or by hypersensitivity reactions to oral hygiene products such as toothpaste or mouth rinses may mimic positive Nikolsky's sign elicited by autoimmune bullous diseases (Figure 9) [45], ... Aqueous cinnamon extract was used in the present study avoiding its topically applied adverse effects such that associated with cinnamon-flavored toothpaste or chewing gum. ... Factitious injury of the gingiva may also present with clinical features consistent with DG [31][32][33][34], which was suggestive of mucocutaneous diseases including MMP [32,33] or PV [34]. MAIN OBSERVATIONS:A 20-year-old female patient presented with white elevated mucosal patches in the right lateral board of her tongue. As the use of complementary medicine grows, so does the knowledge that many compounds in common use not only have a significant effect on the body but may also interact with pharmaceuticals and also with other alternative products. It is necessary to dissolve one teaspoon of peroxide in 1/2 cup of boiling water and rinse your mouth three times a day. Deep invasive carcinomas were recorded in 90% of the samples of group II, 60% of group IV, 50% of group V and 40% of group VI. Such products are gums, toothpastes and mouthwashes. Clipboard, Search History, and several other advanced features are temporarily unavailable. -. Groups IV and V were handled as group II and concomitantly treated with ACE for the same period and additionally group V received ACE for other 16 weeks after the stoppage of DMBA application. Superficial sloughing of the mucosa as described above with edema and erythema of the gingiva is associated with cinnamon containing toothpaste, ... Superficial sloughing of the mucosa as described above with edema and erythema of the gingiva is associated with cinnamon containing toothpaste [30]. -, Nadiminti H., Ehrlich A., Udey M.C. doi: 10.1111/odi.12170. It had been reported that such products induce orofacial granulomatosis, oral mucosal reactions, burning sensations, red or white lesions and have even been implicated in rare cases of leukoplakia and carcinoma [19][20][21][22]. The present study investigated the short-term germ-killing effect of sugar-sweetened cinnamon chewing gum on total and H2S-producing salivary anaerobes. Many authors reported that the presence of cinnamaldehyde in toothpaste is a probable reason for the occurrence of allergic contact dermatitis and stomatitis, ... Their gingival trauma has not recurred since their treatment. Localized or generalized DG is sometimes elicited by contact hypersensitivity reactions to various foodstuffs, preservatives, oral hygiene products, and dental restorative materials [11,25. Oral adverse reactions due to cinnamon-flavoured chewing gums consumption. Two of these cats received an esophagostomy tube for nutritional support. The three test chewing gums included: 1) sugared chewing gum containing cinnamic aldehyde and natural flavors (CinA+); 2) sugared chewing gum without, • A patient had acute stomatitis and dermatitis due to a popular toothpaste containing cinnamon oil flavor. Learn more. Hamsters of each group were euthanized according to the experimental schedule. The hamsters of groups I, II and III received no treatment, DMBA and ACE respectively, for 16 weeks. © 2008-2020 ResearchGate GmbH. J Dermatol Case Rep. 2010 Nov 19;4(2):28-9. doi: 10.3315/jdcr.2010.1047. ... Cinnamon might decrease blood sugar. The treatment consists of discontinuing the use of cinnamon products. Feller L, Wood NH, Khammissa RA, Lemmer J. Prime and boost aerosol exposure via fog machine or shisha smoke followed by cinnamon hypersensitivity and anaphylaxis to spiced food. Oral mucosal reactions to cinnamon-flavored chewing gum. J Am Dent Assoc. Oral erosions as a manifestation of allergic contact sensitivity to cinnamon mints. Shaggy hyperkeratotic oral lesions are usually seen in cinnamon stomatitis from gums and candy (Fig. Cinnamon-flavoured products (toothpaste, chewing gum, food, candy and mouthwash) can cause oral adverse reactions; among these, the most common is contact stomatitis (cinnamon contact stomatitis, CCS). The contact stomatitis patients usually have mild pain, pruritus, and burning sensation [244,245]. The chewing of a gum base (GB) alone did not result in a significant reduction in the total or H2S-producing salivary anaerobes (p > 0.05). Drake TE, Maibach HI. Group VI hamsters were handled as group III and additionally received DMBA for other 16 weeks after the stoppage of ACE supplementation. Cinnamon flavoring agents are known to act on the mucosa as irritants or sensitizers. of the cinnamon mints. doi: 10.1111/j.0105-1873.2005.0483c.x. Angioedema After Squaric Acid Treatment in a 6‐Year‐Old Girl. See this image and copyright information in PMC. In this case, an adolescent patient presented with multiple, asymptomatic ulcerated lesions- resembling aphthous ulcerations- located in the oral cavity. Arch. cinnamon-flavoured chewing gum. Search for more papers by this author. | As CCS may be more prevalent than believed and its clinical features can frequently determine misdiagnosis, we reviewed case reports and case series of oral adverse reactions due to cinnamon-containing chewing gums, emphasizing clinical aspects, diagnostic and management procedures. Concurrent use of herbs with drugs may mimic, magnify, or oppose the effect of drugs leading to herb-drug interactions. The commercially available sugar-sweetened cinnamon chewing gum may benefit halitosis by reducing volatile sulfur compounds producing anaerobes in the oral cavity. -, Bousquet P.J., Guillot B., Guilhou J.J., Raison-Peyron N. A stomatitis due to artificial cinnamon-flavored chewing gum. Objective – To describe the clinical and laboratory features, treatment, and outcome of cats with a history of potpourri oil exposure.Design – Retrospective study.Setting – Veterinary teaching hospital.Animals – Six client-owned cats.Measurements and Main Results – The medical records of animals with oral or lingual ulceration and exposure to potpourri oil from January 2000 to December 2007 were reviewed. 2014 Oct;20(7):637-43. doi: 10.1111/odi.12170. The clinical presentation can vary.
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