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Case Reports in Pediatrics
Volume 2018 (2018), Article ID 2681723, 4 pages
https://doi.org/10.1155/2018/2681723
Case Report

A Skeptical Approach to the Management of Persistent Oral Ulceration in a Child

1Pediatric Haematology and Oncology Department, Ondokuz Mayıs University, Samsun, Turkey
2Pediatric Haematology and Oncology Department, Medipol University, Istanbul, Turkey
3Pathology Department, Ondokuz Mayıs University, Samsun, Turkey
4Dörtçelik Children’s Hospital, Bursa, Turkey

Correspondence should be addressed to Ibrahim Kartal; moc.liamtoh@82latrak_miharbi

Received 12 November 2017; Accepted 20 March 2018; Published 11 April 2018

Academic Editor: Ko-Huang Lue

Copyright © 2018 Ibrahim Kartal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The diagnosis of oral lesions is sometimes difficult due to both the clinician’s limited experience with the conditions that may cause the lesions and their similar appearances, especially in children. Correctly establishing a definitive diagnosis is of major importance to clinicians who manage patients with oral mucosal diseases. In patients with Fanconi anaemia (FA), oral ulcers occur frequently, which are quite variable, and may lead to a misdiagnosis or failure to diagnose. Here, we report the case of a 15-year-old boy who was examined for squamous cell cancer of the tongue and diagnosed as having FA without any haematological manifestations. While surgery could not be done, both radiotherapy and chemotherapy had to be decreased. He died of progressive disease 6 months after the diagnosis. Unexplained ulcers in a child with a duration longer than 2 weeks should be further evaluated, especially for FA, even without the presence of anaemia.