Oral manifestations of hematologic disease.
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A 49-year-old male patient with diffuse myeloma is reported. Although obvious punched-out radiolucency is frequently seen in multiple myeloma, in this case it was not observed, with only a faint resorption of the alveolar ridge being noticed. It is emphasized that a biopsy, radiographic examination and other laboratory findings are necessary to diagnose this disease.
The incidence of certain microbial infections occurring in the oropharynx is well documented, but infection by other pathogens, although highly probable, has not been established with certainty. Considerable recent interest in the incubation period of various infections and improved community surveillance programs combine to ascribe infection to specific incidents. It is prudent for health care personnel to acknowledge the presence of many sexually transmitted diseases in the oropharynx and consider them in the differential diagnosis of many well-established conditions.
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