Presentation appears to be bimodal, coinciding with natal teeth present at birth or neonatal teeth erupting during the first 30 days of life, and eruption of. Zaenglein al, chang mw, meehan sa, axelrod fb, orlow sj. The differential diagnosis of riga fede disease includes infectious diseases such as syphilis, tuberculosis or ulcerative candidiasis, and neoplasms such as lymphomas, sarcomas or granular cell myoblastomas. Jan 01, 2014 rigafede disease was first described by antonio riga, an italian physician, in 1881. Rigafede disease is a mouth ulcer seen in infants and is usually caused by rubbing the tongue over teeth. Similarly to the present study, the ulceration was painful in a case reported by costacurta et al. It is caused by trauma to the soft tissue from erupted baby teeth. The treatment of a case of traumatic ulceration of the tongue rigafede disease is described. We present a case report of a 3 month old male infant presenting with a neonatal tooth in the lower jaw. According to the classification proposed by dominguescruz et al 9 rigafede disease can be separated into the precocious type, caused by natal or neonatal teeth, and late disease, with onset after 68 months of age when the lower incisors erupt. However, the anterior ventral surface of the tongue is the most common site. Case report riga fede disease n ghimire1, ik maharjan1, a kumar2, b koirala2 assistant professor 1 department of pedodontics and preventive dentistry, 1department of oral medicine and radiology 2 department of pedodontics and preventive dentistry, bp koirala institute of health sciences, dharan abstract the. Neonatal tooth with rigafide disease affecting breastfeeding.
Pdf the term riga fede disease has been used historically to describe traumatic ulceration that occurs on the ventral surface of tongue in neonates. The disease is usually caused by the sharp edges of new erupted teeth. Early treatment consisted of excision of the lesion. Rigafede disease or syndrome is a rare condition in infants characterized by ulceration on the ventral surface of the tongue or on the inner surface of the. Rigafede disease presents in early infancy and is characterized by firm, verrucous plaques arising on the oral mucosal surfaces.
All nine of our cases were of the latter type, since the lesions were caused by natal teeth. We propose a classification of the disease, as either precocious, a. Rigafede disease was first described by antonio riga, an italian physician, in 1881. Riga fede disease is a reactive, traumatic mucosal disease characterised by persistent ulceration of the oral mucosa. Satisfactory healing of ulcerative lesion was observed at 10 days followup visit. Some diseases are acute, producing severe symptoms that terminate after a short time, e.
Presentation appears to be bimodal, coinciding with natal teeth present at birth or neonatal teeth erupting during the first 30 days of life, and eruption of the primary teeth. This appearance was described by riga and fede and hence been termed as rigafede disease. Conventionally, the term rigafede disease rfd has been used to describe traumatic ulceration that occurs on the ventral surface of the. Traumatic oral granuloma, also known as riga fede disease or cardarellis aphthae, is a rare, enfsrmedad, ulcerative, granulomatous process that occurs as a result of repetitive trauma of the. It is frequently associated with natal or neonatal teeth but may also occur in older infants after the eruption of primary lower incisors. Pdf the aim of this study is to present a case of riga fede disease rfd. Extraction of the teeth was chosen as treatment of choice over more conservative treatment.
Sublingual traumatic ulceration a riga fede disease. The lesions first begin in early infancy and can be the presenting sign of a developmental anomaly or underlying neurologic disorder, including both incidental and syndromeassociated natal. Traumatic ulcerative granuloma with stromal eosinophilia. Riga fede disease rfd is a benign and uncommon mucosal disorder, characterized by an ulceration of the tongue, often caused by. Persistent lingual ulceration rigafede disease in an. Riga fede disease is a rare pediatric condition in which chronic lingual ulceration results from repetitive trauma. Incisional biopsy is recommended for oral ulcerations persisting without signs of resolution. Seven patients were treated with a conservative approach involving grinding of the sharp incisal edges, while.
Riga fede disease is a benign, ulcerative, granulomatous process in the tongue that arises from the repetitive trauma of the oral mucosal surfaces by the teeth. A 12 monthold female patient, with cerebral palsy, presented. Ever since, this condition has been assigned various eponyms such as riga s disease, riga fede disease or syndrome, sublingual ulcer, sublin. In 1890, fede 8wasthefirst to histologically describe the lesion based on samples of two infants aged 8 and 10months. Sublingual traumatic ulceration due to neonatal teeth rigafede. May 01, 2014 late riga fede disease can be associated with neurological disorders, 9 whereas there is no relationship with neurological disease in the precocious type seen in the first 6 months of life. Although the aspect of the lesion might be impressive, its. The term riga fede disease has been used historically to describe a traumatic ulceration that occurs on the ventral surface of the tongue in neonates and infants. Lingual traumatic ulceration rigafede disease journal of oral. Rigafede disease is well reported in dental literature but is relatively unknown to the general pediatric community.
Riga fede disease synonyms, riga fede disease pronunciation, riga fede disease translation, english dictionary definition of riga fede disease. Therefore this disease should be included in the differential diagnosis of a tongue ulcer in these individuals. The ulcer may be uncomfortable but it is otherwise harmless. Case report rigafede disease associated with natal teeth. This appearance was described by riga and fede and hence been termed as riga fede disease. Treatment for any ulceration of suspected traumatic origin should include removal of the traumatizing factor, if still present, and follow up with the patient in two weeks to assess healing.
Persistent lingual ulceration riga fede disease in an infant with down syndrome and natal teeth. Fede in 1890, it has been known as riga fede disease. Senanayake mp, karunaratne i j med case rep 2014 aug 22. This article is within the scope of wikiproject medicine, which recommends that medicinerelated articles follow the manual of style for medicinerelated articles and that biomedical information in any article use highquality medical sources. In the present case report 20 days old female infant presented by parents. Rigafede disease or syndrome is a rare condition in infants characterized by ulceration on the ventral surface of the tongue or on the inner surface of the lower lip.
This designation primarily refers to infants and children younger than 2 years of age and parallels with. The lesions are usually located sublingually or on the ventral. Treatment of riga fede disease has varied over the years. Rigafedelike disease in a 70 year old woman wollina u. Nasdaq baltijos saliu vertybiniu popieriu birza omx omx omx vilnius ryga talinas minimali reiksme 68,55 107,2 121,55 maksimali reiksme 569,04 747,36 996,86 table 2. It is also known as sublingual ulceration, sublingual traumatic ulceration, traumatic lingual ulceration, sublingual traumatic atrophic glossitis, sublingual fibrogranuloma. Fede disease is an uncommon, benign, ulcerative condition due to dental trauma that can occur at any age. Senanayake mp, karunaratne i j med case rep 2014 aug. It is most often associated with natal and neonatal teeth in newborns. The aim of this study is to present a case of riga fede disease rfd. Bilateral harlequin syndrome, unilateral horner syndrome, and.
Introduction riga fede disease rfd is a benign and uncommon mucosal disorder 1, characterized by an ulceration of the tongue, often caused by repetitive traumatic injuries due to backward and forward. Pdf on mar 1, 2008, d jariwala and others published rigafede disease find, read and cite all the research you need on researchgate. Martinez menchaca hr, silva gr 2016 neonatal teeth and riga fede disease. Although the aspect of the lesion might be impressive, its nature is relatively benign. Pdf rigafede disease and neonatal teeth researchgate. It most frequently involves the ventral surface of the tongue or the lingual frenulum because the tongue is raked over the teeth 1,3. Rigafede disease definition of rigafede disease by the. Less commonly other parts of the mouth may be involved. Riga fede disease deformity of the tongue in an infant. The natal and neonatal teeth have often beaning reported to cause ulceration on the ventral surface of the tongue in neonates and infants. It may also be associated with repetitive tongue thrusting habits in older infants after the eruption. Riga fede disease is a reactive, traumatic mucosal disease characterized by persistent ulceration of the oral mucosa. The aim of the present case report is to present riga.
Pdf the term rigafede disease has been used historically to describe traumatic ulceration that occurs on the ventral surface of tongue in neonates. Riga fede disease more details rfd is a chronic traumatic ulceration presenting on the ventral surface of the tongue in neonates and infants, frequently associated with natal, neonatal, or primary lower incisor teeth. Rfd is a benign and uncommon mu cosal disorder, characterized by an ulceration of the. The term riga fede disease has been used historically to describe traumatic ulceration that occurs on the ventral surface of tongue in neonates and infants. Oral injuries may be seen in association with a variety of traumatic injuries. Failure to diagnose and properly treat this lesion can result in dehydration and inadequate. An 11monthold male infant was referred to our clinic because of a painful ulcer of approximately 5. Neonatal sublingual traumatic ulceration rigafede disease. The history and clinical features are most often so typical that there is seldom a need for addititonal histopathological examination. This article is from italian journal of pediatrics, volume 38. The term rigafede disease has been used historically to describe traumatic ulceration that occurs on the ventral surface of.
Pdf a case of microcephaly associated with traumatic ulceration to the ventral surface of the tongue riga fede disease in a 12monthold female is. It can be described as a sublingual traumatic ulceration. Riga fede disease with glutaric aciduria type 1 springerlink. After anamnesis, the parents signed the term of free and informed consent with the. Histologic studies and additional cases were subsequently published. Riga fede disease more details rfd is a chronic traumatic ulceration presenting on the ventral surface of the tongue in neonates and infants, frequently. Case report open access traumatic lingual ulceration in a.
Manouri p senanayake 7 reported riga fede disease in a 18 months old baby while domingues cj 4 reported two years old baby with riga fede disease. Riga fede disease definition of riga fede disease by the free dictionary a condition or tendency, as of society, regarded as abnormal and harmful. Rigafede disease article about rigafede disease by the. Jun 06, 2020 riga fede disease definition of riga fede disease by the free dictionary a condition or tendency, as of society, regarded as abnormal and harmful. Extensive rigafede disease of the lip and tongue journal of the. Histological studies and additional cases were subsequently published by fede in 1890. The lesion was first described by antonio riga, an italian physician, in 1881.
Natal or neonatal teeth associated with tongue ulceration. It can be confused with nonaccidental trauma nat from forced feeding or other abusive trauma because it presents with injury of oral structures including the sublingual frenulum and often results in problems with growth. Rigafede disease definition of rigafede disease by. Ceyhan am, yildirim m, basak py, akkaya vb, ayata a. Please visit the project page for details or ask questions at wikipedia talk. Tugse was first clinically described by riga in 1881 and called the riga disease. In infants, the eosinophilic ulcer is thus referred to as riga fede disease.
Within a week, the patient was painfree and had begun to feed. Fede disease is a benign and uncommon mucosal disorder. Fede disease associated with postanoxic encephalopathy. Riga fede disease, traumatic lingual ulceration, neonatal teeth. Based on clinical findings diagnosis of riga fede disease was made. Extensive rigafede disease of the lip and tongue sciencedirect. Rigafede disease in association with natal teeth paranna s.
Rigafede disease is a term used to describe traumatic ulceration occurring. Liz admired ryga s work, but ryga couldnt respond to lizs style. Rigafede disease is a rare pediatric condition in which chronic lingual ulceration results from repetitive trauma. Pdf treatment alternatives for sublingual traumatic. Rigafede disease synonyms, rigafede disease antonyms.
The natal and neonatal tooth have been reported to cause ulceration on the ventral surface of the tongue which may affect the child. Abstractriga fede disease is a reactive mucosal disease as a result of repetitive trauma of the. Riga fede disease is a chronic, benign, ulcerative granulomatous process that occurs as a result of continuous trauma on the ventral surface of the tongue most commonly caused by neonatal or natal teeth in newborns 1,2. Fede published the histological findings of the ulcer in 1890 4. This change is known as riga fede disease, traumatic lingual ulceration. Riga fede disease results when an infants instinctive tongue thrusting and raking motion over recently erupted primary mandibular incisors causes a traumatic ulceration of the tongue andor mouth.
Sep 01, 2002 riga fede disease is a benign, ulcerative, granulomatous process that occurs as a result of repetitive trauma of the oral mucosal surfaces by the teeth. Riga fede disease or syndrome is a rare condition in infants characterized by ulceration on the ventral surface of the tongue or on the inner surface of the. Riga fede disease references in periodicals archive. In this report, we present a unique dermatological finding in a patient with hsan type iv. In the present study the ulcer was painful on palpation 9.
This illness is an ulceration of the oral mucosa and arises from repetitive traumatic injuries. Riga fede disease is a benign, reactive soft tissue disorder in neonates and infants characterized by ulcer. Neonatal sublingual traumatic ulceration riga fede disease. Ventral surface of tongue is often the most common site affected. Antonio riga, an italian physician, first described the lesion in 1881. Riga fede disease more details rfd describes a benign, ulcerative granulomatous lesion resulting from the repetitive trauma of contact of the oral mucosal surface of the tongue with the teeth.
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