Intraoral Sensory Abnormalities in A Patient with Juvenile Fibromyalgia

A 9-year-old Japanese girl was referred to our institution with symptoms of intraoral burning pain. The patient had been diagnosed with juvenile fibromyalgia 6 month earlier. Intraoral qualitative sensory testing showed mechanical allodynia and heat hyperalgesia on the intraoral mucosa (tongue and cheek). Because of the lack of evidence for peripheral, organic changes in the oral mucosa, the sensory changes may be best explained by peripheral disturbance. According to the above findings, we diagnosed the patient with burning mouth syndrome (neuropathy), and we consider an association may exist between these reported somatosensory changes and JFM. The psychological managements by a child psychiatry specialist and hospitalization for changing their environments were performed. Moreover, the tooth brushing technique with avoiding the sites of allodynia was instructed carefully. After the 6 months of the management, the body pain and intraoral burning pain were reduced 7 to 2 on a NRS. The continuous dental managements may be important because of the difficulties of dental treatments in a condition of intraoral burning pain with allodynia [1-5].