UNIVERSITAS AIRLANGGA



Detail Article

Dental Journal (Majalah Kedokteran Gigi)

ISSN 1978-3728

Vol. 43 / No. 1 / Published : 2010-03

Order : 2, and page :6 - 10

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Original Article :

Noma management in a child with systemic lupus erythematosus

Author :

  1. Irna Sufiawati*1
  2. Asri Arum Sari*2
  3. Budi Setiabudiawan*3
  4. Rahmat Gunadi*4
  1. Department of Oral Medicine, Faculty of Dentistry, Padjadjaran University
    Bandung - Indonesia

  2. Department of Oral Surgery, Faculty of Dentistry, Padjadjaran University
    Bandung - Indonesia
  3. Department of Pediatric
    Faculty of Medicine, Padjadjaran University
    Bandung - Indonesia
  4. Department of Allergy and Immunology
    Faculty of Medicine, Padjadjaran University
    Bandung - Indonesia

Abstract :

Background: Noma, also known as cancrum oris, is an orofacial gangrene, which during its fulminating stage causes progressive and mutilating destruction of the infected tissues. The disease occurs mainly in children with malnutrition, poor oral hygiene and debilitating concurrent illness. Purpose: The aim of this paper is to report a unique case of noma associated with systemic lupus erythematosus (SLE) in an 8-year-old boy. Case: A 8-year-old boy referred to Oral Medicine Department complaining about an ulcer at the left corner of his mouth for 1 month, painful and difficulty in opening the mouth. The patient was diagnosed as systemic lupus erythematosus since 14 months ago and had been given immunosuppressive therapy. The patient was also diagnosed as severe malnutrition. Haematologic investigations revealed anemia. Case management Panoramic radiography was performed to check for dental or periodontal foci of infection, but no abnormalities were present. The microbiology examination revelaed Fusobacterium necrophorum, Staphylococcus aureus, and Klabsiella. The patient has been treated with oral irrigation hydrogen peroxide, saline and 0.2% chlorhexidine, thus helped to slough the necrotic tissue. Oral antibiotics and analgesics were prescribed. The patient was admitted to hospital under the care of a pediatrician, allergy and immunology specialist, and a nutritionist. The result of the comprehensive disease management showed that the lesion healed completely, but leaving a scar on his corner of the mouth. Its physical effects are permanent and may require reconstructive surgery to be repaired by oral surgeon. Conclusions: Noma is not a primary disease, there are various predisposing factors usually precede its occurrence. The management of noma requires a multidisciplinary approach.

Keyword :

Noma, systemic lupus erythematosus, malnutrition, management ,


References :

Wazir SM,(2008) Cancrum oris - : J Pakistan Association of Dermathologist





Archive Article

Cover Media Content

Volume : 43 / No. : 1 / Pub. : 2010-03
  1. The Comparison Between Minocycline Oral-rinse And Gel On Pocket Depth
  2. The Frequency Of Bottle-feeding As Main Factor In Baby Bottle Tooth Decay Syndrome
  3. Relationship Between Trauma Mechanism And Etiology On Mandibular Fracture Patterns
  4. Noma Management In A Child With Systemic Lupus Erythematosus
  5. Tissue Engineered Bone As An Alternative For Repairing Of Bone Defects
  6. Mozart Effect On Dental Anxiety In 6-12 Year-old Children
  7. The Comparison Of Minocycline Oral Rinse And Gel To Reduce Pocket Depth
  8. Human-leukocyte Antigen Typing In Javanese Patients With Recurrent Aphthous Stomatitis
  9. Mengkudu (morinda Citrifolia Linn.) Gel Effect On Post-extraction Fibroblast Acceleration
  10. Special Considerations For Orthodontic Treatment In Patients With Root Resorption
  11. Various Curing Methods On Transverse Strength Of Acrylic Resin
  12. The Frequency Of Bottle Feeding As The Main Factor Of Baby Bottle Tooth Decay Syndrome

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