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Article: Volume 43 Number 1 Page 93 - January/February 2016

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  Dent Update 2016; 43: 93-94

Clinical Challenges Q&A:  Clinical Challenges Q&A 17. Facial Lesions and Mouth Ulceration

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Abstract: A 56-year-old married woman from Nigeria presented with severe right-sided orofacial pain for 2 weeks. The intense, dull, constant pain in the right maxilla preceded by 3 days the onset of oral soreness. The patient also complained of fatigue, episodes of fever ( 38 °C) and cervical lymphadenopathy. She had not taken any medicines, apart from analgesics. She had been recently diagnosed as HIV+ve. None of her relatives, to her knowledge, had similar lesions.

Author notes: Professor Crispian Scully, CBE, MD, PhD, MDS, MRCS, BSc, FDS RCS, FDS RCPS, FFD RCSI, FDS RCSE, FRCPath, FMedSci, FHEA, FUCL, DSc, DChD, DMed(HC), Dr HC, Co-Director of WHO Collaborating Centre for Oral Health-General Health: and Emeritus Professor, University College London, UK and Dr Dimitrios Malamos, DDS, MSc, PhD, DipOM, Oral Medicine Clinic, National Organization for the Provision of Health Services (IKA), Athens, Greece.