User talk:Eileeneelie

Copyright problem on Crohn's disease
Your additions to the above article include passages copied verbatim or nearly verbatim from a non-free source. This was detected by automatic plagiarism detection software. For copyright reasons, your contribution was removed. Please review the Plagiarism and Copyright training module before proceeding further. Thanks. — Diannaa (talk) 15:31, 24 January 2020 (UTC)

content should be integrated into the article
Also we generally write in prose not point form.

Imagine if we had a section "neurological manifestations, neurological treatment, cardiology manifestations, cardiology treatment, endocrinology manifestations, endocrinology treatment, dermatology manifestations, dermatology treatment, and on and on through the rest of the specialties" Doc James  (talk · contribs · email) 00:34, 1 February 2020 (UTC)
 * I guess read all I have written :-(
 * How does "it is advisable to monitor their blood pressure and blood glucose level." relate specifically to dental care? Doc James  (talk · contribs · email) 05:28, 1 February 2020 (UTC)

Oral manifestations

 * One of the oral manifestation is recurrent aphthous ulcers, however it is not clear whether this is the true expression of Crohn disease or coincidental finding because they are found rather frequently in the general population.
 * Other more prominent findings include diffuse or nodular swelling of the oral and perioral tissues, a cobblestone appearance of the mucosa, granulomatous ulcers and pyostomatitis vegetans. Granulomatous lesions have also been observed in the salivary glands, where they may rupture and cause localized mucocele formation.
 * Medications such as anti-inflammatory and sulfa-containing preparations that are commonly used to treat IBD patients, have been reported to cause oral lichenoid drug reactions.
 * Fungal infection such as candidiasis may be seen as IBD patients are always associated with superinfection with Candida albicans.
 * There is also increased risk of dental caries either due to the patient’s altered immune status or diet.
 * Oral manifestations of malabsorption and anemia such as pallor, angular cheilitis, and glossitis are also commonly seen.

Dental Management

 * Patient with Crohn’s disease are at increased risk for the development of oral infections including dental caries. Constant preventive and routine dental care is mandatory to monitor oral health and prevent hard and soft tissue diseases.
 * If the patient is taking a systemic glucocorticosteroid, it is necessary to monitor the blood pressure and blood glucose level.
 * Screen, diagnose, and treat any oral inflammatory, infectious, or granulomatous lesions as necessary.
 * Cigarette smoking is known to exacerbate Crohn disease, hence patients should be advised to stop this habit.
 * To treat the ulcerative lesions in the oral cavity, palliative rinses and topical steroid therapy may be useful. Palliative sodium bicarbonate mouthrinses (one-half teaspoon of baking soda in 8 ounces of water) may be used as swish and expectorate. Topical steroid preparations, such as 0.05% fluocinonide, desoximetasone, and triamcinolone can be applied topically to the lesions, four times daily. However it should use in short term (not to exceed 2 continuous weeks) due to the side effect of mucosal atrophy and systemic absorption.

What is
"To treat the ulcerative lesions in the oral cavity, palliative rinses and topical steroid therapy may be useful. "

Maybe adjust to this?

Mouth
Recurrent aphthous ulcers are common, however it is not clear whether this is due to Crohn disease or simple that they are common in the general population. Other findings may include diffuse or nodular swelling of the mouth, a cobblestone appearance inside the mouth, granulomatous ulcers, or pyostomatitis vegetans. Medications that are commonly prescribed to treat CD, such as anti-inflammatory and sulfa-containing drugs may cause lichenoid drug reactions in the mouth. Fungal infection such as candidiasis is also common and people have a higher risk of cavities. Signs of anemia such as pallor and angular cheilitis or glossitis are also common.

Doc James (talk · contribs · email) 05:46, 1 February 2020 (UTC)


 * Okay have merged it into the content here. Some of it was already covered. Doc James  (talk · contribs · email) 06:07, 1 February 2020 (UTC)

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