A 50-year-old Brazilian man presented to the emergency department with 2 painful ulcers
of the right buccal mucosa. He first noticed these lesions 3 months earlier, after
the extraction of adjacent maxillary teeth. Later, the patient returned to the outside
provider for follow-up due to increased pain and lesion size. For further evaluation,
the patient was referred to an outside oral and maxillofacial surgeon, who then initiated
referral to our academic center. In addition to the oral mucosal lesions noted, the
patient reported unintentional weight loss of 15 pounds. He denied other symptoms
including fever, chills, nausea, vomiting, and fatigue. The patient's medical history
included alcohol use disorder of 20 years. He reported no health maintenance with
a primary care physician or established care in the United States. The patient took
no medications and had no allergies. He had a 40-pack year smoking history and worked
as a construction worker laying foundations in New England. He immigrated from Brazil
18 years ago and intermittently traveled to his home country, most recently 3 years
ago.
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Article info
Publication history
Published online: November 16, 2022
Accepted:
November 11,
2022
Received in revised form:
November 6,
2022
Received:
August 12,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2022 Elsevier Inc. All rights reserved.
