Oral Lesions in Kidney Transplant Recipients

Levarda-Hudolin, Katarina; Hudolin, Tvrtko; Bašić‐Jukić, Nikolina; Kaštelan, Željko

doi:10.20471/acc.2016.55.03.15

Cited by 16 publications

(18 citation statements)

References 28 publications

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“…The most common oral lesions in kidney transplant patients are gingival hyperplasia, oral candidiasis, hairy leukoplakia, and saburral tongue . All these oral lesions can be related to immunosuppressive medications . In a study by Collett et al that linked the United Kingdom Transplant Registry with cancer registries in England, Scotland, and Wales, it was reported that the incidence of lip cancer and oral cavity cancer in the transplant population was 65.6‐fold and 4.2‐fold higher, respectively, compared to the general population .…”

Section: Discussionmentioning

confidence: 99%

“…5 A review by Levarda-Hudolin et al of oral lesions in patients with a history of renal transplantation found approximately two-thirds of kidney transplant patients have at least one oral mucosa lesion. 18 The most common oral lesions in kidney transplant patients are gingival hyperplasia, oral candidiasis, hairy leukoplakia, and saburral tongue. 18 All these oral lesions can be related to immunosuppressive medications.…”

Section: Discussionmentioning

confidence: 99%

“…18 All these oral lesions can be related to immunosuppressive medications. 18 In a study by Collett et al that linked the United Kingdom Transplant Registry with cancer registries in England, Scotland, and Wales, it was reported that the incidence of lip cancer and oral cavity cancer in the transplant population was 65.6-fold and 4.2-fold higher, respectively, compared to the general population. 19 However, the lip cancer code they used to capture cases does not differentiate between external and internal lip surfaces.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Outcomes of head and neck surgery in patients with a history of solid organ transplantation

et al. 2019

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Objectives/Hypothesis Examine the prevalence and outcomes of head and neck surgeries in patients with a history of organ transplantation. Study Design A retrospective cross‐sectional analysis utilizing the Nationwide Readmissions Database, 2010 to 2014. Methods The study population included adults patients who underwent head and neck surgeries. Patients with a reported history of solid organ transplantation were compared to patients with no such history. Results The study population included 322 transplant patients (76.4% kidney, 8.7% liver, 8.4% heart, 3.0% kidney/pancreas, 2.3% lung, 0.9% kidney/liver, 0.4% pancreas) and 120,401 controls who underwent comparable procedures. Main surgeries that were performed in cases included 37.8% parathyroid, 17.7% thyroid, 11.2% major salivary gland, 10.6% major mouth/tonsil, and 9.6% major nose/paranasal sinuses. Encountering transplant patients in otolaryngology practice has been increasing annually by three patients for every 10,000 procedures performed in the United States. There was no difference in the overall postoperative complications risk (12.5% vs. 10.1%, P = .26); however, cases had a higher risk of acute renal failure (5.4% vs. 1.1%, P < .001) and shock state (0.3% vs. 0.02%, P < .001). Readmission risk was higher for cases (6.8% vs. 3.4%, P = .003). There was no reported in‐hospital mortality among cases. Conclusions Transplant patients are increasingly encountered in otolaryngology practices. The most common transplanted organ is kidney, and the most commonly performed procedure is parathyroidectomy. Level of Evidence NA Laryngoscope, 130:E89–E97, 2020

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Outcomes of head and neck surgery in patients with a history of solid organ transplantation

et al. 2019

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“…This case highlights the fact that dental practitioners have the potential to play an important part in the multidisciplinary team for the care of renal transplant recipients 12. Dentists provide regular surveillance of the oral cavity, which is important for immunosuppressed patients to facilitate treatment of common problems, such as oral infections and xerostomia 12–14. Although rare, dentists should be aware of brown tumours of HPT as early detection and treatment reduces the likelihood of bone fracture and craniofacial deformity, improving outcomes.…”

Section: Discussionmentioning

confidence: 99%

Rare brown tumour of the mandible secondary to tertiary hyperparathyroidism in a renal transplant recipient

Guéroult

Cameron

2019

BMJ Case Rep

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Brown tumours are rare osteolytic lesions that occur secondary to hyperparathyroidism (HPT). In 2% of all cases, the craniofacial bones are affected, most frequently the mandible. HPT is classified according to aetiology into three types, of which tertiary HPT is the rarest. Here we present the case of a 42-year-old man who had received a renal transplant 16 years previously and was referred due to swelling on the right side of his jaw. An orthopantomogram revealed a multilocular radiolucency in the right body of the mandible. The bony lesion was treated by surgical enucleation. After histopathological examination of the lesion, the diagnosis of brown tumour of the mandible secondary to tertiary HPT was reached. The patient’s recovery was uneventful and follow-up radiography showed good bone healing.

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“…Posttransplantation complications can be divided into early (up to 28 days after transplantation) and late (after 28 days of transplantation), and to vascular and nonvascular ( 3 , 6 , 27 ). The most important and most common complications are acute rejection, acute tubular necrosis, renal artery thrombosis, renal vein thrombosis, perinephric fluid collections, urinary obstruction, renal artery stenosis, aneurysmal dilatation of the renal artery, arteriovenous fistula, and chronic rejection.…”

Section: Postoperative Follow Up With Transplant Rejection and Complimentioning

confidence: 99%

Radiological Imaging in Renal Transplantation

Sjekavica

Novosel

Rupčić

et al. 2018

ACC

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SUMMARY – Radiological diagnostic methods have a significant role in the preoperative and postoperative care of patients after kidney transplantation. Improvement and innovations in technology, but also the growing experience of the radiologists who deal with kidney transplant patients as part of the transplant team lead to earlier detection of complications in the postoperative period, which are the leading cause of transplant failure. In this article, we describe, through diagnostic imaging examples, detailed evaluation of all possible complications that can occur after kidney transplantation, with evaluation of different possible diagnostic methods that can be used in the preoperative assessment and postoperative follow up and care of the transplanted patient. The goal of this article is to demonstrate and summarize in detail the possible complications of renal transplantation and how to best diagnostically approach them, with special reference to ultrasound which is the main imaging method for this group of conditions.

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Oral Lesions in Kidney Transplant Recipients

Cited by 16 publications

References 28 publications

Outcomes of head and neck surgery in patients with a history of solid organ transplantation

Outcomes of head and neck surgery in patients with a history of solid organ transplantation

Rare brown tumour of the mandible secondary to tertiary hyperparathyroidism in a renal transplant recipient

Radiological Imaging in Renal Transplantation

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