Noma (cancrum oris): An unresolved global challenge.


Journal

Periodontology 2000
ISSN: 1600-0757
Titre abrégé: Periodontol 2000
Pays: Denmark
ID NLM: 9313276

Informations de publication

Date de publication:
06 2019
Historique:
entrez: 16 5 2019
pubmed: 16 5 2019
medline: 27 11 2019
Statut: ppublish

Résumé

Noma (canrum oris) is a mutilating necrotizing disease of uncertain etiology, but it is accepted that it is caused primarily by a polybacterial infection with secondary ischemia. The consequent necrotizing fasciitis, myonecrosis, and osteonecrosis results in destruction of facial structures with severe functional impairment and disfigurement. It most frequently affects children, particularly in sub-Saharan Africa, who are malnourished or debilitated by systemic conditions including but not limited to malaria, measles, and tuberculosis; and less frequently debilitated HIV-seropositive subjects. In the vast majority of cases, in susceptible subjects, noma is preceded by necrotizing stomatitis. However, it has been reported, albeit rarely, that noma can arise without any preceding oral lesions being observed. Noma is not recurrent and is not transmissible.

Identifiants

pubmed: 31090145
doi: 10.1111/prd.12275
pmc: PMC7328761
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

189-199

Informations de copyright

© 2019 The Authors. Periodontology 2000 Published by John Wiley & Sons Ltd.

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Auteurs

Liviu Feller (L)

Department of Periodontology and Oral Medicine, Sefako Makgatho Health Sciences University, Pretoria, South Africa.

Razia A G Khammissa (RAG)

Department of Periodontology and Oral Medicine, Sefako Makgatho Health Sciences University, Pretoria, South Africa.

Mario Altini (M)

Division of Anatomical Pathology, School of Pathology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Johan Lemmer (J)

Department of Periodontology and Oral Medicine, Sefako Makgatho Health Sciences University, Pretoria, South Africa.

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Classifications MeSH