Orofacial granulomatosis and diet therapy: a review of the literature and two clinical cases
AUTOR(ES)
Espinoza, Iris, Navarrete, Jorge, Benedetto, Juana, Borzutzky, Arturo, Roessler, Patricia, Ortega-Pinto, Ana
FONTE
An. Bras. Dermatol.
DATA DE PUBLICAÇÃO
2018-02
RESUMO
Abstract: Orofacial granulomatosis is a nonspecific term that contains a wide variety of granulomatous entities, which share a clinical and histopathological presentation. It manifests as persistent or recurrent orofacial swelling, amongst other findings. Idiopathic orofacial granulomatosis, characterized by an absence of systemic granulomatous disease, is a diagnosis of exclusion. The main differential diagnosis is Crohn's disease. Its pathogenesis is unknown, however, it seems to be immune-mediated. Patch-test sensitivity to multiple allergens is well documented. Currently, therapeutic options consider restrictive diets, topical, intralesional, and systemic agents. First-line therapy is currently a matter of debate. We present a review of the value of diet therapy in this syndrome, along with two illustrative cases.
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