SLE and dental erosion: a lethal cocktail.
A 13-year-old Pacific Island girl presented complaining of fever, joint pain and dry mouth. She was using limes to relieve her dry mouth. On examination, the most striking clinical finding was severe dental erosion and caries. Autoimmune serology confirmed a diagnosis of systemic lupus erythematosus (SLE) with possible Sjögren's syndrome. The case illustrates the devastating consequence of excessive consumption of acidic citrus juice in sicca syndrome.
Consultant Physician, Vila Central Hospital Medical Department, Port Vila, Vanuatu.
David
D
Fegan
Mary Jacqueline
MJ
Glennon
D000293:Adolescent; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D018501:Antirheumatic Agents / Q000627:therapeutic use; D002738:Chloroquine / Q000627:therapeutic use; D005260:Female; D005334:Fever / Q000209:etiology; D005638:Fruit; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000175:diagnosis* / Q000188:drug therapy; D011239:Prednisolone / Q000627:therapeutic use; D012859:Sjogren's Syndrome / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome
D000893:Anti-Inflammatory Agents; D018501:Antirheumatic Agents; D002738:Chloroquine; D011239:Prednisolone
Pacific Islands; immune