Skrypnikova T. P., Zubkova L. P., Pyndus T. O., Bocharov V. A., Khmil T. A.
SYNDROMIC COMBINED LESIONS OF ORAL STRUCTURES, SKIN, AND OTHER HUMAN ORGANS AND SYSTEMS
Show/Download
About the author:
Skrypnikova T. P., Zubkova L. P., Pyndus T. O., Bocharov V. A., Khmil T. A.
Heading:
LITERATURE REVIEWS
Type of article:
Scientific article
Annotation:
There is a broad spectrum of syndromes that combine dental, oral, craniofacial, cutaneous, and systemic lesions. The aim of the study was to analyze scientific literature and systematize clinical and pathophysiological changes in syndromes involving combined damage to oral structures, skin, and other body organs and systems. An analysis of publications indexed in PubMed, Web of Science, and Google Scholar databases over the last ten years was conducted. The subject of the study was syndromic damage to oral structures in combination with cutaneous manifestations and involvement of other human organs and systems. The analysis revealed that among syndromic lesions of oral structures, several cases are classified as developmental defects. Pathological changes are most frequently observed in the lips, tongue, and salivary glands. Certain syndromes (toxico-allergic) are extremely dangerous and can be fatal. In most cases, the exact etiopathogenesis of syndromic lesions remains elusive. A significant percentage is attributed to developmental anomalies. In specific syndromes, the roles of viral, endocrine, and/or neurotrophic factors are clearly established; toxico-allergic factors are particularly hazardous, causing damage to the oral mucosa, skin, and other organs. In this regard, dentists, dermatologists, and specialists in other fields must adhere to a differentiated approach in diagnosing such diseases and providing patient care. This study promotes interdisciplinary interaction and mutual understanding among all specialists involved in the diagnostic and therapeutic management of patients with these syndromic conditions to ensure optimal personalized care within a comprehensive approach. Prospects for further research include elucidating the pathophysiological mechanisms underlying the development of syndromes with combined damage to both integumentary tissues (oral structures and skin) and reactions from other human organs and systems.
Tags:
Bibliography:
- Zubkova LP. Entsyklopediia kliniko-analitychnoi stomatolohii. T. 1. Chisinau: GlobeEdit; 2023. 225 s. [in Ukrainian].
- Zubkova LP. Entsyklopediia kliniko-analitychnoi stomatolohii. T. 2. Chisinau: GlobeEdit; 2023. 221 s. [in Ukrainian].
- Houkrodzher DDzh. Dermatolohiia: tekst i kolorovi iliustratsii: per. 7-ho anhl. vyd. Kyiv: Medytsyna; 2023. 175 s. [in Ukrainian].
- Kitsera N, Kovalchuk L, Rozhko M. Henetychna patolohiia i yii stomatolohichni proiavy. Ivano-Frankivsk: Foliant; 2021. 239 s. [in Ukrainian].
- Volosovets OP, redaktor. Pediatriia (neonatolohiia, hematolohiia, endokrynolohiia). Kyiv: Medprynt; 2023. 431 s. [in Ukrainian].
- Tovani-Palone MR, Bistagnino F, Shah PA. Multidisciplinary team for patients with neurocutaneous syndromes: the little discussed importance of dentistry. Clinics (Sao Paulo). 2024;79:100332. DOI: https://doi.org/10.1016/j.clinsp.2024.100332
- Dujic H, Bücher K, Schüler IM, Schmidt P, Hertel S, Timpel J, et al. Dental management of genetic dental disorders: a critical review. J Dent Res. 2025;104(4):369-379. DOI: https://doi.org/10.1177/00220345241305330
- Mahmoud AY, Neagu D, Scrimieri D, Abdullatif ARA. Early diagnosis and personalised treatment focusing on synthetic data modelling: novel visual learning approach in healthcare. Comput Biol Med. 2023;164:107295. DOI: https://doi.org/10.1016/j.compbiomed.2023.107295
- Tsuge K, Shimamoto A. Research on Werner Syndrome: trends from past to present and future prospects. Genes (Basel). 2022;13(10):1802. DOI: https://doi.org/10.3390/genes13101802
- Adam MP, Bick S, Mirzaa GM, Pagon RA, Wallace SE, Amemiya A, editors. GeneReviews®. Seattle (WA): University of Washington; 2002. Chapter, Werner Syndrome. Available from: https://www.ncbi.nlm.nih.gov/books/ NBK1514/
- Yadlapati S, Tripathy K. Incontinentia Pigmenti (Bloch-Sulzberger Syndrome). Treasure Island (FL): StatPearls Publishing; 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK578194/
- Emmi G, Bettiol A, Hatemi G, Prisco D. Behçet’s syndrome. Lancet. 2024;403(10431):1093-1108. DOI: https://doi.org/10.1016/S0140-6736(23)02629-6
- Lavalle S, Caruso S, Foti R, Gagliano C, Cocuzza S, La Via L, et al. Behçet’s disease, pathogenesis, clinical features, and treatment approaches: a comprehensive review. Medicina (Kaunas). 2024;60(4):562. DOI: https://doi.org/10.3390/medicina60040562
- Shimizu J, Murayama MA, Mizukami Y, Arimitsu N, Takai K, Miyabe Y. Innate immune responses in Behçet disease and relapsing polychondritis. Front Med (Lausanne). 2023;10:1055753. DOI: https://doi.org/10.3389/fmed.2023.1055753
- Strużyna J, Surowiecka A, Korzeniowski T, Piszczek J, Korulczyk P, Drozd L, et al. Immunomodulatory treatment of Lyell’s Syndrome: a simultaneous plasmapheresis and intravenous immunoglobulins therapy. J Burn Care Res. 2022;43(6):1394-1398. DOI: https://doi.org/10.1093/jbcr/irac046
- Tkach VYe, Aleksandruk OD, Voloshynovych MS, Kostyshyn ID, Matkovska NR, Kozak NV. Hranulematoznyi kheilit Mishera: vypadok z praktyky. Ukrainian Journal of Dermatology, Venerology, Cosmetology. 2024;(1):30-33. DOI: https://doi.org/10.30978/ujdvk2024-1-30 [in Ukrainian].
- González-García A, Barbolla Díaz I, Sifuentes Giraldo WA, Patier-de la Peña JL. Miescher syndrome: An uncommon cause of recurrent swelling of the lips. Reumatol Clin. 2017;13(6):363-364. DOI: https://doi.org/10.1016/j.reuma.2017.03.003
- Błochowiak K, Kraiz A, Bowszyc-Dmochowska M, Paszyńska E, Jenerowicz D. Miescher’s cheilitis as a diagnostic and therapeutic challenge-a case report. Medicina (Kaunas). 2025;61(2):299. DOI: https://doi.org/10.3390/medicina61020299
- Mazur ІP, Gasyk NV, Rybachuk AV, Malanchuk VO, Mazur PV. Klinichna kharakterystyka potentsiino zloiakisnykh utvoren slyzovoi obolonky porozhnyny rota ta chervonoi obliamivky. Oral and General Health. 2022;3(3):6-11. DOI: https://doi.org/10.22141/ogh.3.3.2022.125 [in Ukrainian].
- Skrypnikova TP, Khmil TA, Pysarenko OA, Bieliaieva OM. Do pytannia klinichnoi klasyfikatsii peredrakovykh zmin slyzovoi porozhnyny rota i chervonoi obliamivky hub. Ukrainian Dental Almanac. 2022;(3):9-13. DOI: https://doi.org/10.31718/2409-0255.3.2022.02 [in Ukrainian].
- Lin TY, Chiang CH, Cheng PS. Melkersson-Rosenthal syndrome. J Formos Med Assoc. 2016;115(7):583-584. DOI: https://doi.org/10.1016/j.jfma.2015.08.011
- Jamil RT, Agrawal M, Gharbi A, Sonthalia S. Cheilitis Granulomatosa. Treasure Island (FL): StatPearls Publishing; 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470396/
- Wnuk-Kłosiñska A, Jenerowicz D, Bowszyc-Dmochowska M, Pietrzak-Kaczmarek H, Adamski Z. Melkersson-Rosenthal syndrome - a therapeutically challenging disease. Postepy Dermatol Alergol. 2021;38(3):533-536. DOI: https://doi.org/10.5114/ada.2020.92569
- Kuang W, Luo X, Wang J, Zeng X. Research progress on Melkersson-Rosenthal syndrome. Zhejiang Da Xue Xue Bao Yi Xue Ban. 2021;50(2):148-154. DOI: https://doi.org/10.3724/zdxbyxb-2021-0103
- Solovyova Y, Nekrasova N, Stromylo A. A clinical case of secondary erythromelalgia. Psychiatry, Neurology and Medical Psychology. 2025;12(1(27):142-149. DOI: https://doi.org/10.26565/2312-5675-2025-27-12
- Alsulami HAA, Al-Nashiwaty O, Khalifa MA, Syed NU, Ahmed N, Almuthree S. Reiter’s syndrome following intravesical Bacillus Calmette- Guerin therapy for bladder carcinoma: case report. IDCases. 2023;31:e01711. DOI: https://doi.org/10.1016/j.idcr.2023.e01711
- Shah SS, Chhabra M. Parry-Romberg Syndrome. Treasure Island (FL): StatPearls Publishing; 2022. Available from: https://www.ncbi.nlm.nih.gov/ books/NBK574506/
- Bukiej A, Sequiera W. Clinical Images: Parry-Romberg syndrome. ACR Open Rheumatol. 2022;4(6):483. DOI: https://doi.org/10.1002/acr2.11410
- Aram A, Cappitelli A, Dedeoglu F, Vleugels RA, Bruun R, Ganske IM. Dental anomalies in Parry-Romberg syndrome: a 40-year retrospective review. Cleft Palate Craniofac J. 2023;60(8):956-961. DOI: https://doi.org/10.1177/10556656221086174
- Frantz R, Huang S, Are A, Motaparthi K. Stevens-Johnson syndrome and toxic epidermal necrolysis: a review of diagnosis and management. Medicina (Kaunas). 2021;57(9):895. DOI: https://doi.org/10.3390/medicina57090895
- Shah H, Parisi R, Mukherjee E, Phillips EJ, Dodiuk-Gad RP. Update on Stevens-Johnson syndrome and toxic epidermal necrolysis: diagnosis and management. Am J Clin Dermatol. 2024;25(6):891-908. DOI: https://doi.org/10.1007/s40257-024-00889-6
- Vossos H, Delgado PM. Stevens-Johnson syndrome, toxic epidermal necrolysis: macules, papules, and bullae. J Am Psychiatr Nurses Assoc. 2024;30(4):749-756. DOI: https://doi.org/10.1177/10783903241252810
- Skrypnikova T, Skrypnikov P, Khmil T, Pysarenko O, Kulai O, Tymoshenko Y, ta in. Klinichni profili patsiientiv iz bahatoformnoiu eksudatyvnoiu erytemoiu i syndromom Stivensa-Dzhonsona na stomatolohichnomu pryiomi. Ukrainian Dental Almanac. 2025;(1):18-21. DOI: https://doi.org/10.31718/2409-0255.1.2025.03 [in Ukrainian].
- André F, Böckle BC. Sjögren’s syndrome. J Dtsch Dermatol Ges. 2022;20(7):980-1002. DOI: https://doi.org/10.1111/ddg.14823
- Qi W, Tian J, Wang G, Yan Y, Wang T, Wei Y, et al. Advances in cellular and molecular pathways of salivary gland damage in Sjögren’s syndrome. Front Immunol. 2024;15:1405126. DOI: https://doi.org/10.3389/fimmu.2024.1405126
- Jensen MLN, Troldborg AM, Pfeiffer-Jensen M, Deleuran B. Sjögren’s syndrome. Ugeskr Laeger. 2021;183(31):V04210309.
- Błochowiak K, Olewicz-Gawlik A, Polańska A, Nowak-Gabryel M, Kocięcki J, Witmanowski H, et al. Oral mucosal manifestations in primary and secondary Sjögren syndrome and dry mouth syndrome. Postepy Dermatol Alergol. 2016;33(1):23-27. DOI: https://doi.org/10.5114/pdia.2016.57764
Publication of the article:
«Bulletin of problems biology and medicine», 2026 Issue 2, 181, 121-126 pages, index UDC 616.314.17+616.5(083)