scholarly journals Reply to: “Comment on ‘Trichloroacetic acid as a treatment for persistent oral mucosal lesions in pemphigus vulgaris'”

2019 ◽  
Vol 81 (5) ◽  
pp. e141
Author(s):  
Hamidreza Mahmoudi ◽  
Kamran Balighi ◽  
Soheil Tavakolpour ◽  
Maryam Daneshpazhooh
2019 ◽  
Vol 80 (3) ◽  
pp. e51-e52 ◽  
Author(s):  
Hamidreza Mahmoudi ◽  
Kamran Balighi ◽  
Soheil Tavakolpour ◽  
Maryam Daneshpazhooh ◽  
Cheyda Chams-Davatchi

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Arvind Babu Rajendra Santosh ◽  
Venkat Ramana Reddy Baddam ◽  
Chigurupati Anuradha ◽  
Chandrashekar Poosarla

Objective:To assess the prevalence of oral mucosal lesions in patients with pemphigus and pemphigoid diseases from Southern India. Design and Methods: A cross-sectional hospital based study was conducted from August 2010 to July 2011. Patients with confirmed pemphigus and pemphigoid skin disease were selected and informed to participate in the study. Oral examination of all participants were done to document site and type of oral manifestation and diagnostic procedures such as histopathological and Immunofluorescence methods were performed to confirm the diagnosis. Demographic details such as age, gender and occupation were also documented. The results of the study were analyzed by SPSS software version 19.0 (Armonk, NY) and presented as descriptive statistics. Results: Sixty percent of the patients exhibited oral mucosal manifestations. A higher female (86.66%) predilection of autoimmune blistering disease was observed in the study. A slightly higher number of pemphigoid patients (53.33%, 16 out of 30) were reported than pemphigus (46.66%, 14 out of 30 cases). The most common subtypes of pemphigus is Pemphigus vulgaris 71% (10 out of 14) among pemphigus, and bullous pemphigoid 87.5%(14 out of 16) among pemphigoid. Buccal mucosa (92.85%) is the most common site in pemphigus patients, where as hard palate (12.5%) is mostly commonly reported site in pemphigoid patients. Initial involvement of oral tissue in disease process was observed in 78.57% of pemphigus, and 12.5% of pemphigoid patients. Conclusion: Oral mucosal lesions are more frequently associated in pemphigus patients. Oral mucosal lesions are the initial site of disease process in pemphigus patients. The significance of diagnosis of oral lesions at earlier stage of disease, specifically pemphigus may help in early intervention of disease and help to reduce the morbidity and mortality state. The study emphasizes multidisciplinary approach in diagnosis and management of both pemphigus and pemphigoid.


Author(s):  
Elis Ângela Batistella ◽  
Rayssa Sabino da Silva ◽  
Elena Riet Correa Rivero ◽  
Carolina Amália Barcellos Silva

2020 ◽  
Vol 16 (1) ◽  
pp. 5-13
Author(s):  
Olga Guryevskaya ◽  
Irina Usmanova ◽  
Zuhra Hismatullina ◽  
Al'bina Bulgakova ◽  
Yigal Granot ◽  
...  

Subject. This review presents a modern literature review on the clinical manifestations of severe autoimmune disease — pemphigus vulgaris, chronic genetic determinate dermatosis — by the example of epidermolysis bullosa, dermatosis — lichen planus, acute immuno-mediated disease — multiforme exudative erythema. The goal is to conduct a systematic analysis of modern domestic and foreign literature to determine some features of the clinical manifestations of chronic dermatoses with lesions of the oral mucosa. Methodology. A review of the studies allows us to consider the etiology and pathogenesis of the development of these nosologies, approaches to modern classification, as well as an analysis of their clinical features with an emphasis on differential diagnosis. Results. It was noted that with combined damage to the skin and oral mucosa, the diagnosis of these dermatoses in patients does not present any particular difficulties. However, the significance of determining pathognomonic signs of damage to the oral mucosa with a particular dermatosis increases significantly with an isolated lesion of the oral mucosa, and when it is the primary and only manifestation of skin disease. Conclusions. Undoubtedly, the principle of continuity of the interested specialties among which are undoubted - dermatovenerologists, dentists, gastroenterologists, gynecologists, neuropsychiatrists, has great prospects in both diagnosis and complex treatment. Nevertheless, for their widespread use, the local and general treatment of these patients needs to be verified, solving urgent problems of introducing and adapting modern technologies for rapid prototyping them into practical healthcare, which together will allow significant progress in their diagnosis and prevention.


Author(s):  
Lasya Mandadi ◽  
N. Rajendran ◽  
P. Shakthi ◽  
Vandana S.

<p class="abstract"><strong>Background:</strong> Oral mucosa reflects the general health of an individual. In certain systemic diseases oral cavity may be affected first or it could the only clue to diagnosis. Hence skin examination is never complete without the examination of mucosae. Aims and objectives were to find out the frequency and diversity of oral mucosal lesions in patients attending Dermatology, Venereology and Leprosy (DVL) outpatient department (OPD).</p><p class="abstract"><strong>Methods:</strong> This was a hospital based observational study. All patients with oral mucosal lesions fulfilling the inclusion &amp;exclusion criteria were enrolled in the study. Detailed history, physical examination and clinical photographs were recorded for all the patients.<strong></strong></p><p class="abstract"><strong>Results:</strong> The prevalence oral mucosal lesions among dermatological patients is 1.04% with a female predilection and the mean age was 38.44±17.30. Majority of the patients belonged to the age group of 31-60 years. Established risk factors for developing oral lesions like tobacco and beetle nut use was found in only 24% and 16% of the patients respectively. Twenty% (21%) of the patients were diabetic and the commonest oral lesions in them was oral candidiasis. Eighteen% (18%) of the patients presented with only oral complaints, while 82% of patients came with skin complaints and their oral lesions were incidental findings. Out of 82 patients with dermatological diseases specific mucocutaneous diseases were seen in 44% of patients. Most common dermatological diseases seen were vitiligo, lichen planus and pemphigus vulgaris.</p><p class="abstract"><strong>Conclusions:</strong> Knowing the prevalence of oral lesions as a part of mucocutaneous disorders would help sensitise other specialities the need to examine oral cavity in order to attain appropriate and early diagnosis.</p>


Author(s):  
Ankita M. Maheshwari ◽  
Vidya D. Kharkar

<p class="abstract"><strong>Background:</strong> The objective of the study was to study the correlation between clinical and histopathological diagnoses of oral lesions.</p><p class="abstract"><strong>Methods:</strong> Data of all patients attending the department of Dermatology KEM Hospital, Mumbai with oral mucosal lesions who underwent biopsy for histopathological examination in a duration of one year was included in this retrospective study. Their clinical and histopathological diagnoses were correlated and data was analysed.<strong></strong></p><p class="abstract"><strong>Results:</strong> A data of total of 164 patients was included in study. Out of the clinically diagnosed, histopathological correlation was found to be 66.66% for oral leucoplakia, 81.25% for lichen planus, 72% for squamous cell carcinoma, 88% for pemphigus vulgaris and 75% for submucosal fibrosis. Overall correlation found was 75.60%.</p><p class="abstract"><strong>Conclusions:</strong> Histopathological examination of oral mucosal lesion is very important to arrive at the accurate diagnosis and to plan definitive treatment. Histopathological examination of oral mucosal lesions must be done routinely because wide variety of conditions present with similar morphologic features and can be the initial signs of many skin disorders.</p>


2009 ◽  
Vol 13 (4) ◽  
pp. 119-126
Author(s):  
Yoshimitsu Bamba ◽  
Tetsunari Nishikawa ◽  
Akio Tanaka

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 686
Author(s):  
Lucia Staníková ◽  
Martin Formánek ◽  
Pavel Hurník ◽  
Peter Kántor ◽  
Pavel Komínek ◽  
...  

Background: Isolated laryngeal pemphigus vulgaris (LPV) is rare; however, early diagnosis is crucial in determining its course and prognosis. This paper aims to describe mucosal vascular changes typical for LPV using advanced endoscopic methods, which include Narrow Band Imaging (NBI), IMAGE1-S video-endoscopy and enhanced contact endoscopy (ECE). Materials and Methods: Retrospective analysis of all laryngeal mucosal lesion examined using advanced endoscopic methods during 2018–2020 at tertiary hospital was performed. Results: Videolaryngoscopy examination records of 278 patients with laryngeal mucosal lesions were analyzed; three of them were diagnosed with LPV. Epithelial vascularization of LPV included specific pattern. Intraepithelial papillary capillary loops were symmetrically stratified and were organized into “contour-like lines”. This specific vascularization associated with LPV were different from other laryngeal mucosal pathologies. Conclusions: Using advanced endoscopic methods supports early diagnosis of LPV and accelerate the diagnosis and treatment.


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