title: [Current therapeutic approach of the white sponge naevus of the oral cavity].
abstract: We report a case of White Sponge Naevus of the tongue in a 50 years-old man. White Sponge Naevus of the oral cavity is a rare, benign and dominant autosomic inherited disorder, which presents in the form of a white, hyperplasic and verrucous or spongious lesion of the oral mucosa. Differential diagnosis is clinically difficult with more common white lesions of the oral cavity. Various therapeutic approaches have been proposed. Systemic antibiotics or local applications of retinoic acid provide limited benefits but are poorly effective. To our knowledge, CO2 Laser has never been tried to treat a White Sponge Naevus of the oral cavity. We performed a complete removal of the lesion with CO2 Laser, but complete recurrence occurred. Finally, a surgical resection was realized, which proved to be effective. Two years later, the patient is free of recurrence. This article proposes a review of the literature on what is known on White Sponge Naevus of the oral mucosa. We stress the importance of confrontation between anamnesis, clinical examination and pathologic findings to lead to the proper diagnosis of this rare disease.
authors: Service de Stomatologie et de Chirurgie maxillo-faciale, Hôpital Erasme – ULB – Bruxelles.
authors: Laurence
authors: L
authors: Dufrasne
authors: Michèle
authors: M
authors: Magremanne
authors: Dominique
authors: D
authors: Parent
authors: Laurence
authors: L
authors: Evrard
mesh_terms: D002245:Carbon Dioxide; D006801:Humans; D054020:Lasers, Gas / Q000627:therapeutic use*; D053529:Leukokeratosis, Hereditary Mucosal / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000473:pathology; D019647:Oral Surgical Procedures / Q000379:methods*; D012008:Recurrence; D014060:Tongue Diseases / Q000473:pathology / Q000601:surgery*
chemical_list: D002245:Carbon Dioxide