Palate hyperpigmentation caused by prolonged use of the anti-malarial chloroquine. 2012

Mário Rodrigues de Melo Filho, and Célsia Adriane Dias da Silva, and Maurício da Rocha Dourado, and Maria Betânia de Oliveira Pires, and Sabina Pena Borges Pêgo, and Edmilson Martins de Freitas
Department of Dentistry, State University of Montes Claros, Montes Claros, Minas Gerais, Brazil.

The side-effects of many drugs manifest in the oral mucosa. The anti-malarial agent chloroquine diphosphate, which is also used to treat immunological, dermatological, and rheumatological disorders, usually causes pigmentary changes in the oral mucosa. This report presents a case of palate pigmentation related to the prolonged use of chloroquine diphosphate caused by the deposition of drug metabolites in the mucosa. Healthcare professionals must be aware of these drugs and their adverse effects in order to make the correct diagnosis, decide on the optimal treatment for the condition, or refer the patient to an appropriate specialist.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009061 Mouth Mucosa Lining of the ORAL CAVITY, including mucosa on the GUMS; the PALATE; the LIP; the CHEEK; floor of the mouth; and other structures. The mucosa is generally a nonkeratinized stratified squamous EPITHELIUM covering muscle, bone, or glands but can show varying degree of keratinization at specific locations. Buccal Mucosa,Oral Mucosa,Mucosa, Mouth,Mucosa, Oral
D002738 Chloroquine The prototypical antimalarial agent with a mechanism that is not well understood. It has also been used to treat rheumatoid arthritis, systemic lupus erythematosus, and in the systemic therapy of amebic liver abscesses. Aralen,Arechine,Arequin,Chingamin,Chlorochin,Chloroquine Sulfate,Chloroquine Sulphate,Khingamin,Nivaquine,Sulfate, Chloroquine,Sulphate, Chloroquine
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000962 Antimalarials Agents used in the treatment of malaria. They are usually classified on the basis of their action against plasmodia at different stages in their life cycle in the human. (From AMA, Drug Evaluations Annual, 1992, p1585) Anti-Malarial,Antimalarial,Antimalarial Agent,Antimalarial Drug,Anti-Malarials,Antimalarial Agents,Antimalarial Drugs,Agent, Antimalarial,Agents, Antimalarial,Anti Malarial,Anti Malarials,Drug, Antimalarial,Drugs, Antimalarial
D017495 Hyperpigmentation Excessive pigmentation of the skin, usually as a result of increased epidermal or dermal melanin pigmentation, hypermelanosis. Hyperpigmentation can be localized or generalized. The condition may arise from exposure to light, chemicals or other substances, or from a primary metabolic imbalance. Hypermelanosis,Hypermelanoses
D021362 Palate, Hard The anteriorly located rigid section of the PALATE. Hard Palate,Palatine Bone,Bone, Palatine,Hard Palates,Palates, Hard

Related Publications

Mário Rodrigues de Melo Filho, and Célsia Adriane Dias da Silva, and Maurício da Rocha Dourado, and Maria Betânia de Oliveira Pires, and Sabina Pena Borges Pêgo, and Edmilson Martins de Freitas
November 2020, British journal of clinical pharmacology,
Mário Rodrigues de Melo Filho, and Célsia Adriane Dias da Silva, and Maurício da Rocha Dourado, and Maria Betânia de Oliveira Pires, and Sabina Pena Borges Pêgo, and Edmilson Martins de Freitas
December 2017, Journal of clinical and experimental dentistry,
Mário Rodrigues de Melo Filho, and Célsia Adriane Dias da Silva, and Maurício da Rocha Dourado, and Maria Betânia de Oliveira Pires, and Sabina Pena Borges Pêgo, and Edmilson Martins de Freitas
January 2012, General dentistry,
Mário Rodrigues de Melo Filho, and Célsia Adriane Dias da Silva, and Maurício da Rocha Dourado, and Maria Betânia de Oliveira Pires, and Sabina Pena Borges Pêgo, and Edmilson Martins de Freitas
February 1965, Dermatologische Wochenschrift,
Mário Rodrigues de Melo Filho, and Célsia Adriane Dias da Silva, and Maurício da Rocha Dourado, and Maria Betânia de Oliveira Pires, and Sabina Pena Borges Pêgo, and Edmilson Martins de Freitas
January 1972, Nature,
Mário Rodrigues de Melo Filho, and Célsia Adriane Dias da Silva, and Maurício da Rocha Dourado, and Maria Betânia de Oliveira Pires, and Sabina Pena Borges Pêgo, and Edmilson Martins de Freitas
July 1954, Revista brasileira de malariologia e doencas tropicais. Publicacoes avulsas,
Mário Rodrigues de Melo Filho, and Célsia Adriane Dias da Silva, and Maurício da Rocha Dourado, and Maria Betânia de Oliveira Pires, and Sabina Pena Borges Pêgo, and Edmilson Martins de Freitas
January 1973, European neurology,
Mário Rodrigues de Melo Filho, and Célsia Adriane Dias da Silva, and Maurício da Rocha Dourado, and Maria Betânia de Oliveira Pires, and Sabina Pena Borges Pêgo, and Edmilson Martins de Freitas
December 2014, Malaria journal,
Mário Rodrigues de Melo Filho, and Célsia Adriane Dias da Silva, and Maurício da Rocha Dourado, and Maria Betânia de Oliveira Pires, and Sabina Pena Borges Pêgo, and Edmilson Martins de Freitas
May 2006, Medizinische Klinik (Munich, Germany : 1983),
Mário Rodrigues de Melo Filho, and Célsia Adriane Dias da Silva, and Maurício da Rocha Dourado, and Maria Betânia de Oliveira Pires, and Sabina Pena Borges Pêgo, and Edmilson Martins de Freitas
June 1985, Orvosi hetilap,
Copied contents to your clipboard!