CURRENT THERAPEUTIC APPROACH OF THE WHITE SPONGE NAEVUS OF THE ORAL CAVITY.

Authors

  • Laurence Dufrasne Hôpital Erasme – ULB – Bruxelles
  • Michèle Magremanne Hôpital Erasme – ULB – Bruxelles
  • D Parent
  • L Evrard Université Libre de Bruxelles

Abstract

We report a case of White Sponge Naevus of the tongue in a 50 years-old man. White Sponge Naevus of the oral cavity is a rare, benign and dominant autosomic inherited disorder, which presents in the form of a white, hyperplasic and verrucous or spongious lesion of the oral mucosa. Differential diagnosis is clinically difficult with more common white lesions of the oral cavity. Various therapeutic approaches have been proposed. Systemic antibiotics or local applications of retinoic acid provide limited benefits but are poorly effective. To our knowledge, CO2 Laser has never been tried to treat a White Sponge Naevus of the oral cavity. We performed a complete removal of the lesion with CO2 Laser, but complete recurrence occurred. Finally, a surgical resection was realized, which proved to be effective. Two years later, the patient is free of recurrence. This article proposes a review of the literature on what is known on White Sponge Naevus of the oral mucosa. We stress the importance of confrontation between anamnesis, clinical examination and pathologic findings to lead to the proper diagnosis of this rare disease.

Author Biographies

Laurence Dufrasne, Hôpital Erasme – ULB – Bruxelles

Service de Stomatologie et de Chirurgie maxillo-faciale

Michèle Magremanne, Hôpital Erasme – ULB – Bruxelles

Service de Stomatologie et de Chirurgie maxillo-faciale

D Parent

Clinique de Pathologie des Muqueuses

L Evrard, Université Libre de Bruxelles

Service de Stomatologie et de Chirurgie maxillo-faciale

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Published

2011-07-14

Issue

Vol. 50 No. 1 (2011)

Section

Original Research Articles

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