精神科医との密な医療連携が奏功した舌痛症の1例

DOI
  • 前田 智寿古
    東京医科歯科大学大学院医歯学総合研究科歯科心身医学分野
  • 渡邉 素子
    東京医科歯科大学大学院医歯学総合研究科歯科心身医学分野
  • 髙尾 千紘
    東京医科歯科大学大学院医歯学総合研究科歯科心身医学分野
  • 木村 康之
    東京医科歯科大学大学院医歯学総合研究科歯科心身医学分野
  • 富永 梨沙
    東京医科歯科大学大学院医歯学総合研究科歯科心身医学分野
  • 豊福 明
    東京医科歯科大学大学院医歯学総合研究科歯科心身医学分野

書誌事項

タイトル別名
  • A case of burning mouth syndrome successfully treated in close collaboration with a psychiatrist

抄録

The efficacy of antidepressants for burning mouth syndrome is widely known. However, we often struggle with the choice of treatment for patients with psychiatric comorbidities because of their mental conditions and medications. Here we report a case of burning mouth syndrome with depression successfully treated in close collaboration with a psychiatrist. The patient was a 52-year-old female dental health worker who suffered from chronic burning pain on the right side of her tongue and was referred to our department. On a diagnosis of burning mouth syndrome, we initiated collaboration with her psychiatrist, with regular consultations approximately every three months. The treatment started with 10mg/day of amitriptyline, carefully monitored and adjusted from 25mg to 30mg/day. It was noteworthy that her pain remained in remission without serious fluctuation of psychiatric symptoms. In addition, regular oral examinations and reassurance for cancer phobia seemed to be useful for this favorable clinical outcome. Fortunately, the present case showed a good clinical course, although the situations and conditions vary widely from case to case. If additional medication is deemed necessary for burning mouth syndrome patients with psychiatric disorders, careful collaboration with the attending psychiatrist is crucial.

収録刊行物

詳細情報 詳細情報について

  • CRID
    1390862943886275840
  • DOI
    10.11268/jjpsd.38.1-2_34
  • ISSN
    21864128
    09136681
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
  • 抄録ライセンスフラグ
    使用不可

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