Indian Journal of Endocrinology and Metabolism

LETTER TO THE EDITOR
Year
: 2020  |  Volume : 24  |  Issue : 4  |  Page : 374--375

Orocrinology: Expanding the horizon


Karthik Balachandran, Adlyne Reena Asirvatham, Shriraam Mahadevan 
 Department of Endocrinology, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, Tamil Nadu, India

Correspondence Address:
Shriraam Mahadevan
Department of Endocrinology, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, Tamil Nadu
India




How to cite this article:
Balachandran K, Asirvatham AR, Mahadevan S. Orocrinology: Expanding the horizon.Indian J Endocr Metab 2020;24:374-375


How to cite this URL:
Balachandran K, Asirvatham AR, Mahadevan S. Orocrinology: Expanding the horizon. Indian J Endocr Metab [serial online] 2020 [cited 2020 Oct 20 ];24:374-375
Available from: https://www.ijem.in/text.asp?2020/24/4/374/293608


Full Text



Sir,

We read with great interest the article on Orocrinology by Mathew et al.[1] The article has focussed on stepwise oral examination, its importance and the possible findings pertaining to endocrine conditions. We really appreciate the attempt by the authors and have little doubt that it would be a ready reckoner for many clinicians. In this context we would like to add a couple of more points that are relevant to oral examination and endocrinology that were not mentioned in the review:

Lip and tongue examination may include abnormal movements also in addition to physical findings enumerated in the article. For instance, labial and lingual tremors are an important accompaniment of thyroxtoxicosis[2] and often overlooked during physical examinationIn the section on mandibular examination, the causes of proganthism and mandibular afflictions due to acromegaly, fibrous dysplasia, cherubim, and jaw tumor associated with hyperparathyroidism were mentioned. We would like to add Paget disease of bone also as an important cause in the list. Occasionally, Paget disease of bone may present as isolated mandibular involvement to the extent that in the nuclear bone scan this is called “Lincoln sign."[3]

Financial support and sponsorship

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Conflicts of interest

There are no conflicts of interest.

References

1Mathew JE, Varma B, Jacob JJ, Kalra S. “Orocrinology": Seven easy steps! Indian J Endocrinol Metab 2020;24:244-50.
2Asirvatham AR, Balachandran K, Mahadevan S, Balasubramanian S. Lingual dyskinesia in hyperthyroidism. Case Reports 2017;2017:bcr2017223226. doi: 10.1136/bcr-2017-223226.
3Nahum E, Chandramouly B, Thornhill B. Paget's disease of the mandible: Lincoln sign on bone scintigraphy. Clin Nucl Med 1996;21:246-7.