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Noma

Other Resources UpToDate PubMed

Synopsis

A progressive gangrene of the mouth and face of primarily malnourished children in underdeveloped countries where sanitation is lacking. Children suffering from infections such as measles and malaria, or who are immunocompromised, have a greater risk for poor prognosis, particularly where medical intervention is unavailable or sought too late. Left untreated, impairments of facial swelling, salivation, halitosis, and impaired speech may rapidly progress to an inability to eat solid food, severe sepsis, and destruction of facial and jaw tissue mucosa. Improved nutrition, sanitation, and antibiotic treatment may help curtail advanced disease. Reconstructive surgery has been used to improve mouth functioning.

Codes

ICD10CM:
A69.0 – Necrotizing ulcerative stomatitis

SNOMEDCT:
18116006 – Cancrum oris

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Last Updated:01/19/2016
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Noma
Noma : Oral ulcers, Hemolytic anemia, Mouth pain, Dysphagia
Clinical image of Noma
An extensive eschar on the upper and lateral lip with loss of tissue around it.
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