Back to Search Start Over

Oral ulceration in Stüve-Wiedemann syndrome: a new presentation

Authors :
Kiran Singh
Khaled Borghol
Rhodri Williams
Kevin McMillan
Source :
BMJ case reports. 14(8)
Publication Year :
2023

Abstract

Stüve-Wiedemann syndrome (SWS) is a rare, autosomal recessive disorder, causing dysautonomia and multisystem failure. Symptoms include skeletal malformations, restricted joint mobility and desensitisation to pain. Patients with SWS presenting with intraoral lesions are extremely rare and this is probably due to their shortened lifespan. We present a case of a 9-month-old patient who presented to our Oral and Maxillofacial Surgery (OMFS)Unit with a chronic inflamed ulcer affecting the tongue, secondary to trauma from erupting central incisors. We believe that depapillation in conjunction with an increased pain threshold contributed to its development. The patient was successfully treated by extraction of the lower central incisors and intralesional steroid injections under general anaesthetic. This case highlights that patients with SWS can present to the OMFS clinician with oral lesions and that they can be safely managed under general anaesthesia.

Details

ISSN :
1757790X
Volume :
14
Issue :
8
Database :
OpenAIRE
Journal :
BMJ case reports
Accession number :
edsair.doi.dedup.....2d32a315544fbdccce6cc20018688719