Unusual oral multifocal epithelial hyperplasia in an adult African‐American lung transplant patient
Oral multifocal epithelial hyperplasia (MEH), or Heck's disease, is a rare benign proliferation of the oral mucosa associated with human papillomavirus (HPV). It clinically presents as multiple asymptomatic papules and nodules that mostly affect the lips, buccal mucosa, and tongue. MEH is predo...
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Veröffentlicht in: | Transplant infectious disease 2021-04, Vol.23 (2), p.e13497-n/a |
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creator | Chompunud Na Ayudhya, Chalatip Alawi, Faizan Akintoye, Sunday O. |
description | Oral multifocal epithelial hyperplasia (MEH), or Heck's disease, is a rare benign proliferation of the oral mucosa associated with human papillomavirus (HPV). It clinically presents as multiple asymptomatic papules and nodules that mostly affect the lips, buccal mucosa, and tongue. MEH is predominantly found in children and young adults while relatively few cases have been reported in the elderly population. Here, we report a case of oral MEH in a 65‐year‐old man with history of lung transplantation. This case highlights the potential susceptibility of organ transplant recipients to the development of MEH. Since MEH that does not require treatment unless the lesion bothers the patient, clinicians should promptly establish a definitive diagnosis to rule out other HPV‐related precancerous lesions. |
doi_str_mv | 10.1111/tid.13497 |
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It clinically presents as multiple asymptomatic papules and nodules that mostly affect the lips, buccal mucosa, and tongue. MEH is predominantly found in children and young adults while relatively few cases have been reported in the elderly population. Here, we report a case of oral MEH in a 65‐year‐old man with history of lung transplantation. This case highlights the potential susceptibility of organ transplant recipients to the development of MEH. Since MEH that does not require treatment unless the lesion bothers the patient, clinicians should promptly establish a definitive diagnosis to rule out other HPV‐related precancerous lesions.</description><identifier>ISSN: 1398-2273</identifier><identifier>EISSN: 1399-3062</identifier><identifier>DOI: 10.1111/tid.13497</identifier><identifier>PMID: 33095955</identifier><language>eng</language><publisher>Denmark: Wiley Subscription Services, Inc</publisher><subject>Buccal mucosa ; Case reports ; Children ; focal epithelial hyperplasia ; Heck's disease ; human papilloma virus ; Human papillomavirus ; Hyperplasia ; immunosuppression ; Lesions ; Lung transplantation ; Lungs ; multifocal epithelial hyperplasia ; Nodules ; Older people ; organ transplant ; Transplantation ; Transplants & implants ; Young adults</subject><ispartof>Transplant infectious disease, 2021-04, Vol.23 (2), p.e13497-n/a</ispartof><rights>2020 Wiley Periodicals LLC</rights><rights>2020 Wiley Periodicals LLC.</rights><rights>2021 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3537-899e1be6555fe54512ca73cde095e290336bed32decebf2609025ff92543a6f43</citedby><cites>FETCH-LOGICAL-c3537-899e1be6555fe54512ca73cde095e290336bed32decebf2609025ff92543a6f43</cites><orcidid>0000-0002-3090-1374</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Ftid.13497$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Ftid.13497$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33095955$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chompunud Na Ayudhya, Chalatip</creatorcontrib><creatorcontrib>Alawi, Faizan</creatorcontrib><creatorcontrib>Akintoye, Sunday O.</creatorcontrib><title>Unusual oral multifocal epithelial hyperplasia in an adult African‐American lung transplant patient</title><title>Transplant infectious disease</title><addtitle>Transpl Infect Dis</addtitle><description>Oral multifocal epithelial hyperplasia (MEH), or Heck's disease, is a rare benign proliferation of the oral mucosa associated with human papillomavirus (HPV). It clinically presents as multiple asymptomatic papules and nodules that mostly affect the lips, buccal mucosa, and tongue. MEH is predominantly found in children and young adults while relatively few cases have been reported in the elderly population. Here, we report a case of oral MEH in a 65‐year‐old man with history of lung transplantation. This case highlights the potential susceptibility of organ transplant recipients to the development of MEH. Since MEH that does not require treatment unless the lesion bothers the patient, clinicians should promptly establish a definitive diagnosis to rule out other HPV‐related precancerous lesions.</description><subject>Buccal mucosa</subject><subject>Case reports</subject><subject>Children</subject><subject>focal epithelial hyperplasia</subject><subject>Heck's disease</subject><subject>human papilloma virus</subject><subject>Human papillomavirus</subject><subject>Hyperplasia</subject><subject>immunosuppression</subject><subject>Lesions</subject><subject>Lung transplantation</subject><subject>Lungs</subject><subject>multifocal epithelial hyperplasia</subject><subject>Nodules</subject><subject>Older people</subject><subject>organ transplant</subject><subject>Transplantation</subject><subject>Transplants & implants</subject><subject>Young adults</subject><issn>1398-2273</issn><issn>1399-3062</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kM1KAzEUhYMotlYXvoAMuNHFtPmZTJplqX-Fgpt2HdKZG5syfyYzSHc-gs_okxjb6kLwcrn3LD4Oh4PQJcFDEmbU2nxIWCLFEeoTJmXMcEqPd3ocUypYD515v8GYCJnIU9RjDEsuOe8jWFad73QR1S6csitaa-osSGhsu4bCBrneNuCaQnurI1tFOmwewGhinM109fn-MSlhJ6Oiq16i1unKB75qo0a3Fqr2HJ0YXXi4OPwBWj7cL6ZP8fz5cTadzOOMcSbisZRAVpByzg3whBOaacGyHEJaoBIzlq4gZzSHDFaGplhiyo2RlCdMpyZhA3Sz921c_dqBb1VpfQZFyAJ15xVNeEKYoEIE9PoPuqk7V4V0inKSjqUIAQJ1u6cyV3vvwKjG2VK7rSJYfXevQvdq131grw6O3aqE_Jf8KTsAoz3wZgvY_u-kFrO7veUXdbuPXg</recordid><startdate>202104</startdate><enddate>202104</enddate><creator>Chompunud Na Ayudhya, Chalatip</creator><creator>Alawi, Faizan</creator><creator>Akintoye, Sunday O.</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3090-1374</orcidid></search><sort><creationdate>202104</creationdate><title>Unusual oral multifocal epithelial hyperplasia in an adult African‐American lung transplant patient</title><author>Chompunud Na Ayudhya, Chalatip ; Alawi, Faizan ; Akintoye, Sunday O.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3537-899e1be6555fe54512ca73cde095e290336bed32decebf2609025ff92543a6f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Buccal mucosa</topic><topic>Case reports</topic><topic>Children</topic><topic>focal epithelial hyperplasia</topic><topic>Heck's disease</topic><topic>human papilloma virus</topic><topic>Human papillomavirus</topic><topic>Hyperplasia</topic><topic>immunosuppression</topic><topic>Lesions</topic><topic>Lung transplantation</topic><topic>Lungs</topic><topic>multifocal epithelial hyperplasia</topic><topic>Nodules</topic><topic>Older people</topic><topic>organ transplant</topic><topic>Transplantation</topic><topic>Transplants & implants</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chompunud Na Ayudhya, Chalatip</creatorcontrib><creatorcontrib>Alawi, Faizan</creatorcontrib><creatorcontrib>Akintoye, Sunday O.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Transplant infectious disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chompunud Na Ayudhya, Chalatip</au><au>Alawi, Faizan</au><au>Akintoye, Sunday O.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unusual oral multifocal epithelial hyperplasia in an adult African‐American lung transplant patient</atitle><jtitle>Transplant infectious disease</jtitle><addtitle>Transpl Infect Dis</addtitle><date>2021-04</date><risdate>2021</risdate><volume>23</volume><issue>2</issue><spage>e13497</spage><epage>n/a</epage><pages>e13497-n/a</pages><issn>1398-2273</issn><eissn>1399-3062</eissn><abstract>Oral multifocal epithelial hyperplasia (MEH), or Heck's disease, is a rare benign proliferation of the oral mucosa associated with human papillomavirus (HPV). It clinically presents as multiple asymptomatic papules and nodules that mostly affect the lips, buccal mucosa, and tongue. MEH is predominantly found in children and young adults while relatively few cases have been reported in the elderly population. Here, we report a case of oral MEH in a 65‐year‐old man with history of lung transplantation. This case highlights the potential susceptibility of organ transplant recipients to the development of MEH. Since MEH that does not require treatment unless the lesion bothers the patient, clinicians should promptly establish a definitive diagnosis to rule out other HPV‐related precancerous lesions.</abstract><cop>Denmark</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33095955</pmid><doi>10.1111/tid.13497</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-3090-1374</orcidid></addata></record> |
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subjects | Buccal mucosa Case reports Children focal epithelial hyperplasia Heck's disease human papilloma virus Human papillomavirus Hyperplasia immunosuppression Lesions Lung transplantation Lungs multifocal epithelial hyperplasia Nodules Older people organ transplant Transplantation Transplants & implants Young adults |
title | Unusual oral multifocal epithelial hyperplasia in an adult African‐American lung transplant patient |
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