Article: Volume 38 Number 7 Page 472 - September 2011

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  Dent Update 2011; 38: 472-476

Oral medicine:  Primary Cutaneous CD8-Positive T-Cell Lymphoma: A Case Report of a Rare and Aggressive Disease with Oral Presentation

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Abstract: A case of a 66-year-old man, who was referred to the Oral Medicine service with persistent oral ulceration and widespread cutaneous rash is presented. Laboratory investigations confirmed a diagnosis of epitheliotropic, CD8-positive, cytotoxic, T-cell lymphoma.

Clinical relevance: Oral ulceration represents a heterogeneous group of aetiologies: the patient with this more concerning pathology presented both to his general medical and dental practitioners.

Author notes: A Geddes, BDS, MFDS RCS(Ed), SHO in Oral and Maxillofacial Surgery, Ninewells Hospital Dundee, J Savin, BDS, MB ChB, FDS RCS(Ed), MRCS RCS(Ed), Surgical Specialist, Community Dental Services, NHS Fife, SJ White, BMSc, BDS, MFDS RCPS(Glasg), PhD, Clinical Lecturer/Honorary Specialist Registrar in Pathology, Ninewells Hospital Dundee and J Gibson, PhD, MB ChB, BDS, FDS(OM) RCPS(Glasg), FFD RCS(Irel), FDS RCS(Ed), Consultant and Honorary Senior Lecturer in Oral Medicine.

Objective: To outline an unusual case which included oral ulceration in its presentation.