Noma (disease)
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| Noma (disease) Classification and external resources | |
| ICD-10 | A69.0 |
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| ICD-9 | 528.1 |
| DiseasesDB | 30727 |
| MeSH | D009625 |
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Noma (from Greek numein: to devour) also known as cancrum oris or gangrenous stomatitis, is a gangrenous disease leading to tissue destruction of the face, especially the mouth and cheek.[1] [1]
Causes
Noma may be caused by bacteria called fusospirochetal organisms. Many children who develop the disease have had another illness such as measles, scarlet fever, tuberculosis, cancer, or immunodeficiency. Although the exact cause is not known, poor nutrition is a risk factor for the disease. It is not communicable.
History
Known in antiquity to such physicians as Hippocrates and Galen, Noma was once reported around the world, including Europe and the United States. With the improvement in hygiene and nutrition, noma has disappeared from industrialized countries since the 20th Century, except during World War II when it was endemic to Auschwitz (in the section where the Nazis interned Gypsies) and Belsen.[2]. The disease and treatments were studied by Berthold Epstein, a Czech inmate physician directed to do by Josef Mengele.
Presentation and prognosis
The mucous membranes of the mouth develop ulcers, and rapid, painless tissue degeneration ensues, which can degrade tissues of the bones in the face.[1] The disease degrades the faces of children within days.
In a condition sometimes called noma pudendi, noma can also cause tissue damage to the genitals.
The disease is associated with high morbidity and mortality (of around 80 per cent)[3] and mainly affects children under the age of twelve in the poorest countries of Africa. Children in Asia and some countries of South America are also affected. Most children who get the disease are between the ages of two and six years old.[1] The WHO estimates that 500,000 people are affected with 100,000 new cases each year.
Treatment
The disease is rarely treated since in some cultures it is considered taboo.
Despite the fact that more than 400,000 children are affected in Africa alone, there is only one noma hospital in all of Africa. Noma Children Hospital Sokoto is located in Nigeria and aside from the regular doctors, European and American medical teams travel there to perform operations. Without plastic surgery, the children's faces cannot be restored.
References
External links
Warning! Some of the websites listed below contain graphic and potentially disturbing images.
- Noma Images (HIGHLY GRAPHIC!)
- All Refer Health article on Noma
- Noma (GRAPHIC!)
- The European Noma Network
- Les Enfants du Noma(French)
- Facing Africa
- The Geneva Study Group on Noma
- The Dutch Noma Foundation
- Bertrand Piccard Winds of Hope Foundation
- International Noma Federation
- Hilfsaktion Noma
de:Noma fr:Noma (maladie) nl:Noma (ziekte) sv:Noma
WikiDoc Research Resources for Noma (disease) | |
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| Articles on Noma (disease) | Most recent articles on Noma (disease) • Most cited articles on Noma (disease) • Review articles on Noma (disease) • Articles on Noma (disease) in N Eng J Med, Lancet, BMJ |
| Media (Slides, Video, Images, MP3) on Noma (disease) | Powerpoint slides on Noma (disease) • Images of Noma (disease) • Photos of Noma (disease) • Podcasts & MP3s on Noma (disease) • Videos on Noma (disease) |
| Evidence Based Medicine Regarding Noma (disease) | Cochrane Collaboration on Noma (disease) • Bandolier on Noma (disease) • TRIP on Noma (disease) |
| Cost Effectiveness of Noma (disease) | Cost Effectiveness of Noma (disease) |
| Clinical Trials Involving Noma (disease) | Ongoing Trials on Noma (disease) at Clinical Trials.gov • Trial results on Noma (disease) • Clinical Trials on Noma (disease) at Google |
| Guidelines / Policies / Government Resources (FDA/CDC) Regarding Noma (disease) | US National Guidelines Clearinghouse on Noma (disease) • NICE Guidance on Noma (disease) • NHS PRODIGY Guidance • FDA on Noma (disease) • CDC on Noma (disease) |
| Textbook Information on Noma (disease) | Books and Textbook Information on Noma (disease) |
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| Genetics, Pharmacogenomics, and Proteinomics of Noma (disease) | Genetics of Noma (disease) • Pharmacogenomics of Noma (disease) • Proteomics of Noma (disease) |
| Newstories on Noma (disease) | Noma (disease) in the news • Be alerted to news on Noma (disease) • News trends on Noma (disease) |
| Commentary on Noma (disease) | Blogs on Noma (disease) |
| Patient Resources on Noma (disease) | Patient resources on Noma (disease) • Discussion groups on Noma (disease) • Patient Handouts on Noma (disease) • Directions to Hospitals Treating Noma (disease) • Risk calculators and risk factors for Noma (disease) |
| Healthcare Provider Resources on Noma (disease) | Symptoms of Noma (disease) • Causes & Risk Factors for Noma (disease) • Diagnostic studies for Noma (disease) • Treatment of Noma (disease) |
| Continuing Medical Education (CME) Programs on Noma (disease) | CME Programs on Noma (disease) |
| International Resources on Noma (disease) | Noma (disease) en Espanol • Noma (disease) en Francais |
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| Informatics Resources on Noma (disease) | List of terms related to Noma (disease) |
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Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

