歯科用金属アレルギーとの関連が疑われた掌蹠膿疱症の1例

概要

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On a textbook of dermatology, it is described about pustulosis palmaris et plantaris that this condition may be caused mainly by forcal infection. Recently, in case of the pustulosis that don't have yet healed after treating the lesion such as extraction of teeth with focus, it have been considered that the etiologic factor may be allergic reaction to metal materials using for dental treatment. This article was a clinical report of prosthetic treatment for such patient. Namely, results of aclinical examination, a review of past medical and dental history, a history of pustulosis symptom, laboratory investigations and patch test suggested that this case was suspected as pustulosis caused by allergization to dental alloys. Furthermore, because a sulfur was picked up from the prosthesis in the energy dispersive analysis, it was considered that the alloy might be corroded in the mouth and some element acted as a hapten to a living body. Therefore lower fixed bridge in full arch was replaced with Konus Telescope denture made of gold-platinum alloy possessing the corrosion resistance in the mouth. 4-months after removing the fixed bridge, the pustulosis in soles disappeared and the symptom did not have recured for one year and 6-months after inserting new denture.
社団法人日本補綴歯科学会の論文
1990-08-01