Oral Pemphigus Vulgaris: A case report

Baral, Radha; Ojha, Bidhata; Bajracharya, Dipshikha

doi:10.3126/jcmc.v10i1.28082

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…The bullae tend to be very fragile, break easily and leave behind denuded surfaces of variable sizes which tend to extend peripherally due to breaking of the epithelium from the underneath dermis. In majority cases of pemphigus vulgaris, the oral mucosa is involved prior to the skin (10). In the present case also, patients had come for the complaint of oral ulcerations with severe pain and burning sensation where the mucosal clefts extended from the periphery.…”

Section: Discussionmentioning

confidence: 52%

Role of oral physician in the management of pemphigus vulgaris- A geriatric case report

Kannan¹,

Deivanayagi²,

Preethy³

2023

Biomedicine

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Pemphigus is a blister forming disease of both mucosa and skin of autoimmune origin. Most commonly seen in old age individuals and oral lesions precede the skin lesions in most cases. This is a report of a unique case of pemphigus vulgaris in an elderly male patient where oral lesions started initially followed by skin lesions. It was provisionally diagnosed by our oral medicine specialists on the very first visit and confirmed after a biopsy. The patient was treated successfully with systemic steroids and azathioprine with reduction in dose after 3 weeks. The healing was satisfactory and the patient is under follow-up.

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Section: Discussionmentioning

confidence: 52%

Role of oral physician in the management of pemphigus vulgaris- A geriatric case report

Kannan¹,

Deivanayagi²,

Preethy³

2023

Biomedicine

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show abstract

“…0.1-0.5% and tends to be more common in certain ethnic groups, such as Ashkenazi Jews, Japanese and populations of Mediterranean descent. 28 It primarily affects adults with a female predilection, and the age of onset ranges from 50 to 60 years. In addition to the skin, PV can also affect the pharynx and the oral cavity.…”

Section: Vesiculobullous Diseases Overview Pemphigus Vulgarismentioning

confidence: 99%

Dental implants for patients with oral mucosal diseases: A narrative review and clinical guidance

Al Ramil,

Lamfoon,

Mawardi

2023

Dent. Med. Probl.

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Oral mucosal diseases are a group of conditions that affect the oral mucosa with variable severity and include recurrent aphthous stomatitis (RAS), oral lichen planus (OLP), pemphigus vulgaris (PV), mucous membrane pemphigoid (MMP), and systemic lupus erythematosus (SLE). These may manifest clinically as painful oral ulcerations, reticulations and/or erosions, with differences between each. Management protocols often include initial topical and/or systemic corticosteroid (CS) therapy to control the patient's acute symptoms, followed by CS-sparing agents for long-term maintenance therapy. Patients with oral mucosal diseases often require dental implants to replace missing teeth. However, data on potential complications and success rates for these cases is still lacking. Considering the steady increase in the incidence of immune-related systemic conditions in the general population globally, dentists are expected to have the needed knowledge and ability to safely place dental implants in this group of patients. Therefore, this review aims to discuss the underlying pathogeneses of common oral mucosal diseases, clinical presentations, best practice approaches, and recommendations for the placement of dental implants in patients with similar conditions.

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Oral pemphigus vulgaris: A case report and review of the literature

Rishi

Chawla

Dubey

2022

AUJMSR

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The oral cavity presents with a variety of pathological lesions ranging from benign to malignant. Autoimmune mucocutaneous disorders of the oral cavity constitute an important group of lesions that pose diagnostic, therapeutic, and prognostic difficulties to the dental clinician. Many of the lesions may become potentially fatal if they are undiagnosed or misdiagnosed in their early stages. Pemphigus vulgaris is a potentially life-threatening autoimmune mucocutaneous disorder that causes blisters and erosions of the skin and the mucous membrane. It manifests clinically as vesicles, bullae, or desquamative gingivitis and histopathologically shows the presence of acantholysis. Eighty to ninety percent of patients with pemphigus vulgaris develop oral lesions and in 60% of cases, oral lesions are the first sign. Timely recognition and therapy of oral lesions are critical as they may prevent skin involvement. The incidence of pemphigus vulgaris occurs in a ratio of 2:1 (female: male). Adequate knowledge of diagnostic and therapeutic modalities helps the clinician in appropriate management. In this article, we report a case of oral pemphigus vulgaris in a 34-year-old male.

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Oral Pemphigus Vulgaris: A case report

Cited by 3 publications

References 6 publications

Role of oral physician in the management of pemphigus vulgaris- A geriatric case report

Role of oral physician in the management of pemphigus vulgaris- A geriatric case report

Dental implants for patients with oral mucosal diseases: A narrative review and clinical guidance

Oral pemphigus vulgaris: A case report and review of the literature

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