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"Jan Drew" wrote in message
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http://tinyurl.com/eu2nb

Resolution of orofacial granulomatosis with amalgam removal.

Guttman-Yassky E, Weltfriend S, Bergman R.

Department of Dermatology, Rambam Medical Centre and the Bruce Rappaport
Faculty of Medicine, Haifa, Israel.

A 61-year-old woman presented with a 2-year history of an abnormal
erythematous swelling on the upper lip and cheek. Upon examination there
were no other physical findings. Histological examination found discreet
sarcoidal granulomas in the lower dermis. Routine laboratory studies,
chest radiographs and pulmonary functions were all normal. Clinical
presentation and histological findings were, therefore, compatible with
the diagnosis of orofacial granulomatosis (OFG). The patient was patch
tested with an extended standard series that included metal-salt, dental
prosthesis, bakery and corticosteroids series. The patch test was positive
(score ++) after 48 and 72 h for mercury in the metal-salt and dental
prosthesis series. During the past decade the patient had received amalgam
fillings of several dental cavities, including one adjacent to the swollen
cheek. The unilateral localization of the soft tissue swelling adjacent to
the amalgam tooth fillings, along with the positive patch test for
mercury, raised the possibility that the OFG was part of a delayed
hypersensitive reaction to the fillings. The patient therefore underwent a
total amalgam replacement procedure; complete disappearance of the
swelling overlying the right cheek was observed within 7 weeks and the
swelling of the upper lip subsided completely within 6 months. We propose
that mercury in amalgam tooth fillings is another cause of OFG and suggest
appropriate patch testing in patients who do not have an apparent cause of
OFG.

Publication Types:
Case Reports

PMID: 12702083 [PubMed - indexed for MEDLINE]

http://tinyurl.com/jxnjj

Oral lichenoid lesions (OLL) and mercury in amalgam fillings.

Wong L, Freeman S.

Skin and Cancer Foundation, Darlinghurst NSW, Australia.

84 patients with oral lichenoid lesions (OLL) were seen in the contact
dermatitis clinic. All these patients had reticulate, lacy, plaque-like or
erosive lichenoid changes adjacent to amalgam fillings. Patch testing to
metallic mercury, 0.1% thimerosal, 1% ammoniated mercury, 0.1% mercuric
chloride, and in some cases 0.05% phenylmercuric nitrate and amalgam discs
was undertaken. 33 (39%) patients had positive patch test findings. 30/33
patch test positive patients had replacement of their amalgam fillings,
with 28 (87%) patients experiencing improvement of symptoms and signs
within 3 months. This confirms that mercury allergy is a factor in the
pathogenesis of OLL in some cases. In cases where patch test negative
patients improve with amalgam replacement, mercury may be acting as an
irritant in the pathogenesis of OLL.


again ....so some are allergic to mercury...why...I am allergic to
nickel....should ALL nickel alloys be removed from the market??

get real Janster....many if not all humans are likely to be allergic to
something...so...avoidance is the key....not taking said substance off the
market so the majority who are NOT allergic cannot have it either...

also...note the last sentence..."some cases" "may be acting as an
irritant"...ie...not even a true allergy anyway...

get a grip...

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Yes, I agree that some people are allergic to mercury. What would happen
if a child that was allegic to mercury was given several vaccines that
contained mercury? That is one of the reasons that children and adults
should NOT be given vaccines that contain mercury. I believe that dentists
should be required to test people to determine if they are allergic to
mercury before making use of dental fillings that contain mercury. Another
even better sollution would be to make it illegal for dentists to use
dental fillings that contain mercury.
Jason
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