-Introduction:Idiopathic burning mouth syndrome (iBMS) is a chronic oral pain syndrome mainly characterized by a burning sensation in the oral mucosa and an etiopathogenesis that remains unclear, with therapeutic options that are disappointing. Any clinical observation providing insight into the disorder can therefore be of interest. Among metabolic factors, deficiencies of vitamins have been pointed out, but only a few studies have focused on the role of vitamin B6 (vitB6) in this syndrome. In this report, we aimed to highlight the involvement of increased but not decreased vitB6 serum levels in a subgroup of BMS Patients. Patients and Methods: Medical files of patients who attended the chronic orofacial pain consultation, in the dental departement of the Groupe Hospitalier Pitié-Salpêtrière (GHPS) in Paris (France) between 09/03/2008 and 12/19/2015 were retrieved from the hospital database and analyzed. This retrospective study was approved by the board of the dental department and authorization for use of patient data was obtained from the National Personal Data Protection Committee (Commission Nationale de l'Informatique et des Libertés (CNIL)) (#1913570). Results: Seven per-or postmenopausal female patients out of 42 diagnosed with iBMS (17%) displayed an increase in their serum levels of vitB6, one to six times the upper normal limits. There was a statistically significant correlation between pain and vitB6 levels. Moreover, in two patients, the reversal of vitB6 levels to normal values resulted in significant decreases in pain severity. Conclusion: These clinical observations report for the first time a potential implication of elevated vitB6 serum levels in the burning sensation which might be specific to a subgroup of iBMS patients. (# 1913570) pour l'utilisation des données des patients. Résultats : Parmi les 42 patients diagnostiqués iBMS, sept (17%) présentaient des taux sériques de vitB6 sérique plus élevés, jusqu'à 6 fois les valeurs normales. Une corrélation statistiquement significative entre la douleur, évaluée par une échelle numérique simple, et les niveaux vitB6 a été observée. En outre, chez deux patients, le retour à des valeurs normales des taux sériques de vitB6 a donné lieu à une diminution significative de l'intensité douloureuse. Conclusion : Ces observations cliniques rapportent pour la première fois l'implication potentielle de taux sériques élevés de vitB6 dans les sensations de brûlure buccale qui pourraient être spécifiques d'un sous groupe de patients stomatodyniques.
Résumé
Key words: pyridoxine / pyridoxal 5'-phosphate (PLP) / painMed Buccale Chir Buccale 2017;23:77-83