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Amalgam T atto

Amalgam T atto. Eric Runyon Case Chart # 158-6-52. Patient History. 73 year old Female Caucasian Penicillin allergy Medications include: Evista , Glucosamine, Prilosec OTC, and Vitamins History of previous tobacco use. Lesion Description.

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Amalgam T atto

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  1. Amalgam Tatto Eric Runyon Case Chart # 158-6-52

  2. Patient History • 73 year old • Female • Caucasian • Penicillin allergy • Medications include: Evista, Glucosamine, Prilosec OTC, and Vitamins • History of previous tobacco use

  3. Lesion Description • The lesion presents as a single, localized, black/blue discoloration on the right gingiva. The lesion is flat with well-defined boarders. Furthermore, the lesion is asymptomatic. In addition, x-rays reveal a radio-opaque object that is consistent with the location of the lesion seen clinically. The radio-opaque object is also present on previous x-rays.

  4. Patient Dialog • Have you ever noticed the dark discoloration on your gums? Yes, it has been there a long, long time. Probably, over 30 years. • Has the spot ever changed in size or color? No, the spot has been the same for as long as I can remember. • Have you had any trauma to this area? No • Did you ever have a tooth that had a “silver”/amalgam filling near where the spot is now? Yes, when I had a tooth there, it had a filling.

  5. Taken 6/13/02

  6. Taken 4/20/10

  7. Taken 8/13/09

  8. Taken 8/30/05

  9. Taken 6/13/02

  10. Differential Diagnosis • Amalgam Tattoo • Hematoma • Melanoma

  11. Provisional Diagnosis • Amalgam Tattoo Treatment options: Treatment is not indicated for an amalgam tattoo.

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