How do you approach treating and monitoring sarcoidosis manifested by maxillary bone/teeth loss without other symptoms?
Answer from: at Academic Institution
I'm very curious how this was determined to be sarcoidosis. Has a PET been done to determine whether this is the only site? Other entities evaluated for like CRMO? Obviously, neoplasm and infection are also important to rule out before immunosuppressive treatment. Conversely, with our limited "tool ...
Comments
at Think Whole Person Healthcare Thank you for your reply. The patient is in her ea...
This is a complex issue. Patients with sarcoidosis who report dental problems represent a heterogeneous group and include direct involvement of the oral mucosa or facial bones, xerostomia due to impaired parotid/salivary gland function, effects of immunosuppressive medications disrupting the oral mi...
Fully agree with Dr. @Chen's assessment and recommendations. In addition, I would recommend serologic testing for Sjogrens disease as it can co-exist with sarcoidosis contributing to this uncommon sarcoidosis manifestation.
Thank you for your reply. The patient is in her ea...