Local amyloidosis of the oral cavity in patients with inflammatory periodontal disease and chronic heart failure
https://doi.org/10.18705/1607-419X-2010-16-1-88-92
Abstract
Background. Systemic and local amyloidosis can be evident in the oral cavity. Biopsy including oral mucosa biopsy
is a standard of amyloidosis diagnosis. Oral mucosa species of the cheek, gingiva, tongue and lip were admitted for the
histological investigation. Material and methods. Cheek and gingival biopsies of 32 patients with I-IV NYHA functional
class of chronic heart failure (CHF) and suspected systemic amyloidosis were investigated histologically with heama
toxylin-eosin and Congo red staining and immunohistochemical analysis to and antibodies (DAKO) and following
investigation in the polar light. Results. Positive reaction was observed in 71,9 % cases, while systemic AL-amyloidosis
(confi rmed by : disbalance) and genetic form of the amyloidosis with predominantly skin disease were diagnosed only
in 3 cases (9,4 %). Dental investigation of the patients with CHF and congo-positive reaction determined high prevalence
of the severe generalised periodontitis (37,5 %). Conclusion. Chronic generalized infl ammation of the periodontium may
be the cause of the local amyloid deposition in the oral cavity.
is a standard of amyloidosis diagnosis. Oral mucosa species of the cheek, gingiva, tongue and lip were admitted for the
histological investigation. Material and methods. Cheek and gingival biopsies of 32 patients with I-IV NYHA functional
class of chronic heart failure (CHF) and suspected systemic amyloidosis were investigated histologically with heama
toxylin-eosin and Congo red staining and immunohistochemical analysis to and antibodies (DAKO) and following
investigation in the polar light. Results. Positive reaction was observed in 71,9 % cases, while systemic AL-amyloidosis
(confi rmed by : disbalance) and genetic form of the amyloidosis with predominantly skin disease were diagnosed only
in 3 cases (9,4 %). Dental investigation of the patients with CHF and congo-positive reaction determined high prevalence
of the severe generalised periodontitis (37,5 %). Conclusion. Chronic generalized infl ammation of the periodontium may
be the cause of the local amyloid deposition in the oral cavity.
About the Authors
A. A. Barmasheva
Almazov Federal Heart, Blood and Endocrinology Centre
Pavlov State Medical University
Russian Federation
Russian Federation
E. N. Semernin
Almazov Federal Heart, Blood and Endocrinology Centre
Pavlov State Medical University
Russian Federation
Russian Federation
I. A. Kuznetsova
Almazov Federal Heart, Blood and Endocrinology Centre
Pavlov State Medical University
Russian Federation
Russian Federation
N. A. Shirshova
Pavlov State Medical University
Russian Federation
Russian Federation
M. G. Rybakova
Pavlov State Medical University
Russian Federation
Russian Federation
E. V. Shlyakhto
Almazov Federal Heart, Blood and Endocrinology Centre
Pavlov State Medical University
Russian Federation
Russian Federation
L. U. Orekhova
Pavlov State Medical University
Russian Federation
Russian Federation
A. Y. Gudkova
Pavlov State Medical University
Russian Federation
Russian Federation
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For citations:
Barmasheva A.A., Semernin E.N., Kuznetsova I.A., Shirshova N.A., Rybakova M.G., Shlyakhto E.V., Orekhova L.U., Gudkova A.Y. Local amyloidosis of the oral cavity in patients with inflammatory periodontal disease and chronic heart failure. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2010;16(1):88-92. (In Russ.) https://doi.org/10.18705/1607-419X-2010-16-1-88-92
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