Desquamative Gingivitis as the First Clinical Sign of Pemphigus Vulgaris: A Case Report
10.21315/aos2022.17S1.CR02
- Author:
Jane Evelyne Chong Huey Yuh
1
;
Evelyn Able Padtong
1
;
Fairuz Abdul Rahman
2
Author Information
1. Ministry of Health Malaysia, Periodontology Unit, Putatan Government Dental Clinic, 88200 Putatan, Sabah, Malaysia
2. Ministry of Health Malaysia, Department of Oral Medicine and Pathology, Queen Elizabeth Hospital, 88586 Kota Kinabalu, Sabah, Malaysia
- Publication Type:Case Reports
- Keywords:
Desquamative gingivitis;
Direct immunofluorescent;
Oral lesions;
Pemphigus vulgaris;
Vesiculobullous diseases
- MeSH:
Gingivitis--pathology;
Pemphigus
- From:Archives of Orofacial Sciences
2022;17(SUPP 1):129-135
- CountryMalaysia
- Language:English
-
Abstract:
ABSTRACT:Desquamative gingivitis is characterised by desquamation of the gingiva with painful erosion and
ulceration. It is predominantly a manifestation of several vesiculobullous diseases. Delayed diagnosis
or misdiagnosis often led to disease progression. Pemphigus vulgaris is a chronic, life-threatening
autoimmune disease resulting in blistering of the mucosa and skin. Oral lesions normally preceded skin
lesions. Early diagnosis and treatment are important to prevent involvement of the skin, as the treatment
and prognosis varies with extraoral involvement. Clinical, histopathological examination and direct
immunofluorescent are necessary for the diagnosis of pemphigus vulgaris. Treatment of desquamative
gingivitis involves improving oral hygiene, reduce irritation to the lesions and specific therapy to the
underlying disease. This paper describes a case of a patient with desquamative gingivitis for one year,
whom is ultimately diagnosed as having pemphigus vulgaris.
- Full text:2.2022my0034.pdf
