Hiperplasia epitelial focal. Tratamiento conservador con ácido tricloroacético. (Focal epithelial hyperplasia: Conservative treatment with trichloroacetic acid)

Resumen

La hiperplasia epitelial focal conocida también como enfermedad de Heck es una patología benigna
que se caracteriza por la presencia de múltiples pápulas en la mucosa de la cavidad bucal, producida
por el virus del papiloma humano afectando principalmente niños y adolescentes. Se reporta
caso clínico de paciente femenina de 7 años de edad, remitida por odontopediatría al servicio de
estomatología y cirugía oral, por presentar múltiples pápulas en mucosa bucal, de tamaño variable,
asintomáticas y de 8 meses de evolución, se realizó biopsia excisional en una de las lesiones y
el estudio anatomopatológico reportó hiperplasia epitelial sin atipias; como terapéutica se aplicó
ácido tricloroacético al 80%, observándose resolución de las lesiones con seis topicaciones.

Abstract:

Focal Epithelial Hyperplasia also known as Heck's disease is a benign pathology characterized by
the presence of multiple papules in the mucosa of the oral cavity, produced by the human papilloma
virus affecting mainly children and adolescents. A clinical case of a 7 year old female patient was
reported who was referred by Pediatric Dentistry to the Stomatology and Oral surgery Service due
to the presence of multiple papules in the oral mucosa which were variable in size, asymptomatic
and had a history of 8 months; an excisional biopsy was performed in one of the lesions and the
anatomic pathological study reported epithelial hyperplasia without atypia. Trichloroacetic acid at 80%
was applied as treatment and resolution of the lesions was observed with six topical applications.