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Biomedical subjects

G W C Jaspers

Publications and source records attributed to G W C Jaspers.

2 recordsLinked to original sources

[Oral pemphigus].

A 33-year-old man suffered from spontaneously developing blisters at the oral mucosa. Firstly, the bullous lesions were observed in the third molar region, but they spread progressively over the buccal and palatal mucosa. The bullous lesions ruptured spontaneously, resulting in erosive lesions and pain. Before being referred to an oral and maxillofacial surgeon, the patient consulted his family doctor, his family dentist, as well as an ear-nose-throat-specialist. The oral and maxillofacial surgeon took a biopsy in order to confirm the clinical diagnosis pemphigus vulgaris. The patient was referred to a dermatologist for treatment with systemic corticosteroids and a non-steroid immunosuppressive drug. Subsequently, the mucosal lesions healed.

Adrenal Cortex Hormones↗

[Trigeminal neuralgia by an acoustic neuroma. The need of imaging].

In a 43-year old female with neuralgia of the second and third branch of the trigeminal nerve, the diagnosis was made on the basis of clinical findings. After the patient was treated with 2 x 200 mg of carbamazepine, all initial symptoms resolved, which confirmed the diagnosis. To distinguish between idiopathic and secondary trigeminal neuralgia, magnetic resonance imaging was scheduled. This investigation showed an acoustic neuroma in the cerebellopontine angle. Without magnetic resonance imaging this benign tumour would be diagnosed in a much later stage and the patient would have suffered unnecessary co-morbidity. Due to the relatively high incidence of secondary trigeminal neuralgia, routine magnetic resonance imaging in patients with a trigeminal neuralgia is justifiable.

Adult↗