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| LETTER TO THE EDITOR |
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| Year : 2020 | Volume
: 14
| Issue : 2 | Page : 103 |
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Unusually large leiomyoma of buccal mucosa: Clinical case report
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq
| Date of Submission | 28-Mar-2020 |
| Date of Acceptance | 09-May-2020 |
| Date of Web Publication | 15-Jul-2020 |
Correspondence Address:
Mahmood Dhahir Al-Mendalawi
P. O. Box 55302, Baghdad Post Office, Baghdad
Iraq
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/JODD.JODD_16_20
How to cite this article:
Al-Mendalawi MD. Unusually large leiomyoma of buccal mucosa: Clinical case report. J Dent Def Sect. 2020;14:103 |
Sir,
I read with interest the case report by Gadad et al.[1] published in the January–June 2020 issue of the Journal of Dentistry Defence Section. The authors reported a case of unusually large leiomyoma of the buccal mucosa in an Indian patient. It is explicit that due to impaired immunity, people living with human immunodeficiency virus (HIV) are at an increased risk to develop various types of tumors. Among these tumors, leiomyoma has been reported in HIV-infected patients.[2] In India, HIV infection is a devastating health threat. The available data pointed out that the national adult HIV seroprevalence was estimated at 0.22% (0.16%–0.30%) in 2017.[3] Among Indian HIV-positive patients, the prevalence of malignancy was estimated to be 2%, while among patients with a malignancy, the prevalence of HIV infection was estimated to be 0.9%.[4] I assume that underlying HIV infection ought to be seriously considered in the case in question. Regrettably, Gadad et al.[1] did not consider HIV infection in the studied patient as they did not mention HIV testing. Hence, the diagnostic algorithm for HIV detection would have envisaged. If that algorithm was to disclose HIV reactivity, the case in question could be surely regarded the second case report of HIV-associated oral leiomyoma in the literature. The first case was reported 8 years ago in a Malaysian patient.[5]
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Gadad RD, Jha AK, Rani I. Unusually large leiomyoma of buccal mucosa: Clinical case report. J Dent Def Sect 2020;14:30-2.  |
| 2. | Kaminski AM, Cameron DC, French MA. Leiomyoma of the oesophagus in an HIV-infected patient. Australas Radiol 2001;45:49-51. |
| 3. | Sinha S, Agarwal A, Gupta K, Mandal D, Jain M, Detels R, et al. Prevalence of HIV in patients with malignancy and of malignancy in HIV patients in a tertiary care center from North India. Curr HIV Res 2018;16:315-20. |
| 4. | Government of India, Ministry of Health & Family Welfare, National AIDS Control Organisation. HIV Facts & Figures. Available from: http://naco.gov.in/hiv-facts-f igures. [Last accessed on 2020 Mar 20]. |
| 5. | Idayu MY, Irfan M, Othman NH. Recurrent glossal leiomyoma. Med J Malaysia 2012;67:329-30. |
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