Four Cases of Cutaneous Fistula of Dental Origin.
- Author:
Hi Tae AN
1
;
Jeong Gu LIM
;
Tae Eun KWON
;
Bang Soon KIM
;
Jeong Aee KIM
;
Sang Eun MOON
Author Information
1. Department of Dermatology, Seoul National University College of Medicine.
- Publication Type:Case Report
- Keywords:
Cutaneous fistula;
Dental origin
- MeSH:
Biopsy;
Cutaneous Fistula*;
Diagnosis;
Diagnostic Errors;
Humans;
Nasolabial Fold;
Neck;
Radiography;
Toothache;
Ultrasonography
- From:Korean Journal of Dermatology
2000;38(9):1239-1243
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cutaneous fistula of dental origin is the most common type of cutaneous fistula that is formed on the face and neck. This lesion can be a diagnostic challenge to clinicians who are not familiar with cutaneous fistula since many patients with cutaneous fistula of dental origin do not have any complaints such as toothache. Diagnostic errors may result in multiple excisions, biopsies, and ineffective long-term antibiotic therapy. However, if the lesion could be suspected of being of dental origin, the diagnosis can be easily confirmed by radiologic examinations. We report four cases of cutaneous fistula of dental origin. All four patients had a characteristic cutaneous findings with chronically draining, fixed, erythematous papule on their nasolabial fold or submental region. Ultrasonography, fistulography or plain roentgenography were needed to confirm the diagnosis of cutaneous fistula originating from dental problems.
