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Prevalence of potentially malignant oral mucosal lesions among tobacco users in Jeddah, Saudi Arabia.
[oral submucous fibrosis]
Smoking
is
recognized
as
a
health
problem
worldwide
and
there
is
an
established
tobacco
epidemic
in
Saudi
Arabia
as
in
many
other
countries
,
with
tobacco
users
at
increased
risk
of
developing
many
diseases
.
This
cross
sectional
study
was
conducted
to
assess
the
prevalence
of
oral
mucosal
,
potentially
malignant
or
malignant
,
lesions
associated
with
tobacco
use
among
a
stratified
cluster
sample
of
adults
in
Jeddah
,
Saudi
Arabia
.
A
sample
size
of
599
was
collected
and
each
participant
underwent
clinical
conventional
oral
examination
and
filled
a
questionnaire
providing
information
on
demographics
,
tobacco
use
and
other
relevant
habits
.
The
most
common
form
of
tobacco
used
was
cigarette
smoking
(
65
.
6
%
)
followed
by
Shisha
or
Moasel
(
38
.
1
%
)
,
while
chewing
tobacco
,
betel
nuts
and
gat
accounted
for
21
-
2
%
,
7
.
7
%
,
and
5
%
respectively
.
A
high
prevalence
(
88
.
8
%
)
of
soft
tissue
lesions
was
found
among
the
tobacco
users
examined
,
and
a
wide
range
of
lesions
were
detected
,
about
50
%
having
hairy
tongue
,
36
%
smoker
's
melanosis
,
28
.
9
%
stomatitis
nicotina
,
27
%
frictional
keratosis
,
26
.
7
%
fissured
tongue
,
26
%
gingival
or
periodontal
inflammation
and
finally
20
%
leukodema
.
Suspicious
potentially
malignant
lesions
affected
10
.
5
%
of
the
subjects
,
most
prevalent
being
keratosis
(
6
.
3
%
)
,
leukoplakia
(
2
.
3
%
)
,
erythroplakia
(
0
.
7
%
)
,
oral
submucous
fibrosis
(
0
.
5
%
)
and
lichenoid
lesions
(
0
.
4
%
)
,
these
being
associated
with
male
gender
,
lower
level
of
education
,
presence
of
diabetes
and
a
chewing
tobacco
habit
.
It
is
concluded
that
smoking
was
associated
with
a
wide
range
of
oral
mucosal
lesions
,
those
suspicious
for
malignancy
being
linked
with
chewable
forms
,
indicating
serious
effects
.
Diseases
Validation
Diseases presenting
"high prevalence"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
adrenal incidentaloma
allergic bronchopulmonary aspergillosis
alpha-thalassemia
cholangiocarcinoma
classical phenylketonuria
congenital adrenal hyperplasia
congenital toxoplasmosis
cowden syndrome
cutaneous mastocytosis
cystinuria
dracunculiasis
dystrophic epidermolysis bullosa
erdheim-chester disease
erythropoietic protoporphyria
fabry disease
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
heparin-induced thrombocytopenia
homocystinuria without methylmalonic aciduria
junctional epidermolysis bullosa
kabuki syndrome
legionellosis
lymphangioleiomyomatosis
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
phenylketonuria
primary hyperoxaluria type 1
pyomyositis
scrub typhus
sneddon syndrome
trochlear dysplasia
waldenström macroglobulinemia
wiskott-aldrich syndrome
zellweger syndrome
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