Evidence map›Paper›PMID 41497687›Full record

ReviewWorld journal of experimental medicine2025

Multifocal epithelial hyperplasia: Clinical features, diagnosis and management challenges.

Cesar Omar Ramos-Gregorio, Omar Tremillo-Maldonado, Felipe Silveira, Lauren Frenzel Schuch, Vanesa Pereira-Prado, Estefania Sicco, Ana Cristina Soto-Najera, Marcelo GómezPalacio-Gastélum, Mario Isiordia-Espinoza, Juan José Muñoz-Ibarra and 2 more

Abstract readReview
In one paragraph

Review in World journal of experimental medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Cesar Omar Ramos-GregorioMaster Degree Program, Faculty of Dentistry, Universidad Juarez del Estado de Durango, Durango 34070, Mexico.
Omar Tremillo-MaldonadoMaster Degree Program, Faculty of Dentistry, Universidad Juarez del Estado de Durango, Durango 34070, Mexico.
Felipe SilveiraDepartment of Diagnostic in Oral Pathology and Oral Medicine, Faculty of Dentistry, Universidad de la República, Montevideo 11400, Uruguay.
Lauren Frenzel SchuchDepartment of Diagnostic in Oral Pathology and Oral Medicine, Faculty of Dentistry, Universidad de la República, Montevideo 11400, Uruguay.
Vanesa Pereira-PradoDepartment of Diagnostic in Oral Pathology and Oral Medicine, Faculty of Dentistry, Universidad de la República, Montevideo 11400, Uruguay.
Estefania SiccoDepartment of Diagnostic in Oral Pathology and Oral Medicine, Faculty of Dentistry, Universidad de la República, Montevideo 11400, Uruguay.
Ana Cristina Soto-NajeraDepartment of Diagnostic in Oral Pathology and Oral Medicine, Faculty of Dentistry, Universidad de la República, Montevideo 11400, Uruguay.
Marcelo GómezPalacio-GastélumMaster Degree Program, Faculty of Dentistry, Universidad Juarez del Estado de Durango, Durango 34070, Mexico.
Mario Isiordia-EspinozaDivisión de Ciencias Biomédicas, Universidad de Guadalajara Centro Universitario de los Altos, Tepetitlan de Morelos 47620, Jalisco, Mexico.
Juan José Muñoz-IbarraFaculty of Dentistry, Universidad Anáhuac Mayab, Merida 93308, Yucatán, Mexico.
Victor Toral-RizoFaculty of Dentistry, University of the Mexico State, Toluca 50130, Mexico.
Ronell Bologna-MolinaMaster Degree Program, Faculty of Dentistry, Universidad Juarez del Estado de Durango, Durango 34070, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multifocal epithelial hyperplasia (MEH), also known as Heck's disease, is a rare and benign condition of the oral mucosa that is strongly associated with low-risk human papillomavirus (HPV) genotypes 13 and 32. This narrative review synthesizes recent findings regarding the epidemiology, viral mechanisms, clinical and histopathological features, diagnostic strategies-including molecular and immunohistochemical methods-and therapeutic approaches to MEH. This disease predominantly affects children and adolescents from Indigenous American countries, although cases have been increasingly reported in nonendemic regions. MEH manifests clinically as multiple, asymptomatic papules or nodules, typically exhibiting a characteristic cobblestone-like appearance. Histologically, it presents with epithelial hyperplasia, koilocytosis, and altered cytokeratin expression. Molecular techniques such as polymerase chain reaction and

Indexed as

EpidemiologyHealth equityHeck's diseaseHuman papillomavirusIndigenous populationsMolecular diagnosisMultifocal epithelial hyperplasiaOral lesions

Identifiers

PMID41497687
PMCPMC12767258

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.