An Unusual Cause of Bilateral Mental Neuropathy in an AIDS Patient

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Abstract
A case is reported of a patient with sudden onset, generalized toothache accompanied with a numb chin and lower lip. A thorough oral examination was negative. A complete medical evaluation revealed a positive HTLV‐III antibody titer and acute lymphoblastic leukemia (Burkitt's‐type). An unexplained trigeminal neuropathy should prompt the dentist to refer the patient for complete medical evaluation. A high index of suspicion of a malignant process should be maintained in all cases of unexplained numb lower lip and/or chin.

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