Riga-Fede disease like ulcers in old age: A case report/Ileri yasta Riga-Fede benzeri ulserler: Bir olgu sunumu

Riga-Fede disease (RFD) is a traumatic, reactive benign disorder characterized by persistent ulceration on the tip or ventral surface of the tongue, seen mainly in infants and children. Lesions tend to develop after the eruption of natal or primary incisors, resulting from repetitive traumatic damage due to backward and forward movements of the tongue over the lower incisors. A literature survey has revealed a very limited number of reported cases of RFD in adults. Herein we reported a 70-year-old female patient who developed RFD-like ulcers on the tongue and buccal mucosa during the previous two months, while under treatment of dental implants. Histopathological examination and direct immunofluorescence of the ulcers and periulcer area did not yield a specific diagnosis. The lesions were resistant to systemic steroid treatment, however, after applying for a soft dental plate nightly for protection of the tongue and buccal mucosa, all ulcers completely healed in two months. With regard to the presented patient, we have reviewed the cases of RFD or RFD-like ulcers reported in adults and discussed the factors contributing to ulcer formation in our patient. Keywords: Dental treatment, old age, oral ulcer, Riga-Fede disease, trauma Riga-Fede hastaligi (RFH) esas olarak bebek ve cocuklarda siklikla dilin ucu veya alt yuzunde ortaya cikan reaktif, travmatik, ulseratif benin bir hastaliktir. Lezyonlar neonatal, natal veya primer kesicilerin cikisindan sonra olusma egilimindedir ve dislerin dil uzerinde tekrarlanan one arkaya hareketinin sorumlu oldugu dusunulmektedir. Literaturde eriskin RFH olgularina cok ender rastlanmaktadir. Burada 70 yasinda bir kadin hastada dis implantlari uygulanirken son iki aydir dilde ve yanak mukozasinda ortaya cikan RFH benzeri ulserler bildirilmektedir. Ulser ve cevresinden yapilan histopatolojik ve direkt immunofloresan incelemeler ozgun bir taniya isaret etmemis, lezyonlar sistemik steroid tedavisine cevap vermemis, dili ve yanagi koruyan yumusak gece plagi uygulamasiyla iki ay icinde tam duzelme olmustur. Bu hasta dolayisiyla eriskinlerde bildirilen RFH veya RFH-benzeri ulser olgulari gozden gecirilmekte ve sunulan olguda lezyonlarin gelisiminde rol oynamasi muhtemel faktorler tartisilmaktadir. Anahtar Kelimeler: Dis tedavisi, ileri yas, oral ulser, Riga-Fede hastaligi, travma