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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
"wide range"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
adrenomyeloneuropathy
alexander disease
allergic bronchopulmonary aspergillosis
alpha-thalassemia
aromatase deficiency
benign recurrent intrahepatic cholestasis
cadasil
carcinoma of the gallbladder
congenital toxoplasmosis
cowden syndrome
cystinuria
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
fabry disease
gm1 gangliosidosis
harlequin ichthyosis
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
legionellosis
neonatal adrenoleukodystrophy
oral submucous fibrosis
pendred syndrome
phenylketonuria
pleomorphic liposarcoma
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
pyruvate dehydrogenase deficiency
scrub typhus
systemic capillary leak syndrome
thoracic outlet syndrome
triple a syndrome
trochlear dysplasia
well-differentiated liposarcoma
werner syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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