dc.contributor.author |
Khammissa, Razia Abdool Gafaar
|
|
dc.contributor.author |
Lemmer, Johan
|
|
dc.contributor.author |
Feller, Liviu
|
|
dc.date.accessioned |
2023-10-24T08:47:26Z |
|
dc.date.available |
2023-10-24T08:47:26Z |
|
dc.date.issued |
2022-06-13 |
|
dc.description.abstract |
Noma is a bacterial, non-communicable, grossly destructive and disfiguring necrotising oro-facial disease. It is rare,
but occurs most commonly in chronically malnourished children with other debilitating illnesses, in remote, povertystricken
communities, mainly in sub-Saharan Africa, and much more rarely in central Latin America and in parts
of Asia. In South Africa and in Zimbabwe, noma is observed, again rarely, in immunosuppressed HIV-seropositive
subjects. The World Health Organization (WHO) has classified noma into five sequential stages: stage 1, acute necrotising
ulcerative gingivitis; stage 2, oedema; stage 3, gangrene; stage 4, scarring; stage 5, sequela. In the opinion of the
authors, this WHO classification requires fundamental re-appraisal. The purpose of this viewpoint article is to highlight
the weaknesses of this classification, and to propose a simpler, more logical and practical evidence-based staging of
noma, which if used should improve the quality and value of future epidemiological data about noma. |
en_US |
dc.description.department |
Periodontics and Oral Medicine |
en_US |
dc.description.librarian |
am2023 |
en_US |
dc.description.uri |
https://tropmedhealth.biomedcentral.com |
en_US |
dc.identifier.citation |
Khammissa, R.A.G., Lemmer, J., Feller, L. 2022, 'Noma staging', Tropical Medicine and Health, vol. 50, no. 40, pp. 1-6. https://DOI.org/10.1186/s41182-022-00431-6. |
en_US |
dc.identifier.issn |
1349-4147 (online) |
|
dc.identifier.issn |
1348-8945 (print) |
|
dc.identifier.other |
10.1186/s41182-022-00431-6 |
|
dc.identifier.uri |
http://hdl.handle.net/2263/93021 |
|
dc.language.iso |
en |
en_US |
dc.publisher |
BMC |
en_US |
dc.rights |
© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License. |
en_US |
dc.subject |
Noma classification |
en_US |
dc.subject |
Acute noma |
en_US |
dc.subject |
Arrested noma |
en_US |
dc.subject |
Necrotising gingivitis |
en_US |
dc.subject |
Necrotising periodontitis |
en_US |
dc.subject |
Necrotising stomatitis |
en_US |
dc.title |
Noma staging : a review |
en_US |
dc.type |
Article |
en_US |