Dear madam,We would like to make an alert for the importance of dental surgeons to recognise oral manifestations suggestive of systemic and multi organs and systems diseases. A 62-year-old man presented at the Department of Oral Diagnosis of the Dental Specialties Center of the City of Fernand opolis, Brazil, for the diagnosis and management of multiple lesions in gingiva prior to prosthetic dental rehabilitation. In anamnesis he reported to be non-smoker and non-drinker. His medical history revealed arterial hypertension under medical control. Extraoral examination of the face revealed verrucous papillomatous lesions around the nose compatible with facial trichilemmoma (Fig. 1A). On intraoral examination we observed multiple coalescent papules and nodules arising in upper and lower lip mucosa, upper alveolar ridge, and hard and soft palate (Fig. 1B). Multiple nodules and papules arising in oral mucosa might be suggestive of syndromic conditions, therefore exploratory endoscopy and colonoscopy were performed and

Objective: In this paper, we describe the results of an oral cancer prevention campaign for early detecting and diagnosing oral cancer and potentially malignant disorder. Subjects and method: The population screening was performed in one day in which population was recruited by local mass media communication means. Patients with suspicious lesions were referred for final diagnosis with a specialist in oral medicine andpathology. Results: Of 1.282 patients screened, 104 were referred for specialized care and 94 attended forfinal diagnosis. Of those, only one (1.06%) patient was diagnosed with oral squamous cell carcinoma and25 (26.5%) with oral potentially malignant disorders, while the diagnosis rates for benign conditions andnormality variations were, respectively, 78.7% and 32.9%. Conclusion: These results suggest low awarenessregarding oral cancer within this population, flaws in the knowledge regarding oral cancer by dentists, andthe need for improvements in the access to the at-risk population for oral cancer.

Introdução: A paracoccidioidomicose (PCM) é uma infecção fúngica profunda causada pelo fungo Paracocciodoides brasiliensis. É de alta relevância na América Latina, pois sua ocorrência tem prevalência em regiões tropicais e subtropicais da América do Sul como Brasil, Argentina, Colômbia, Uruguai e Venezuela. No Brasil, pacientes com a doença são diagnosticados em praticamente todas as regiões. A via primária de infecção da PCM é pulmonar, entretanto, a doença é, frequentemente, diagnosticada por manifestações bucais. Objetivo: Relatar um caso clínico de PCM em sua forma evoluída, diagnosticado através das manifestações bucais. Conclusão: Mediante o caso apresentado, verificou-se que a presença das manifestações bucais favoreceu o diagnóstico da doença, entretanto, o paciente veio a óbito antes da conclusão do tratamento devido a complicações sistêmicas.

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