A case of acute myelomonocytic leukemia presenting maxillary neuroparalysis and an extensive necorotic ulcer at the palatal region

Oral symptoms as observed in leukemia are varied, its clinical symptoms being also diversified. On this occasion that author has experienced a case of acute myelomonocytic leukemia presenting specific oral symptoms.The case is a 46-year-old man, who presented left maxillary neuroparalysis and a necrotic ulcer at the palatal region. The nueroparalysis observed was localized in the left maxillary area, where pulp diagnosis confirmed dental anesthesia. It was initially regarded as due to CNS leukemia, which was, however, denied by general examination findings and other symptoms, and finally, leukemic cellular infiltration and inflammation were considered to be responsible for it. The palatal ulcer became enlarged with a decrease in neutrophils and further was complicated with a P. aeruginosa infection. Remarkable results were obtained by CFS ointment, which was prepared for P. aeruginosa in the ulcerated region and was applied directly to the affected site. CFS ointment has already been assayed for titer and has shown good results of stability.