Lupus eritematoso discoide con gingivitis descamativa crónica. Presentación de un caso clínico con histopatología e inmunofluorescencia
- Blanco Carrión, A
- Gallas Torreira, MM
- Gándara Rey, JM
- García García, A
- Antúnez López, J
ISSN: 1137-2834
Ano de publicación: 2000
Volume: 5
Número: 4
Páxinas: 231-237
Tipo: Artigo
Outras publicacións en: Medicina oral
Resumo
A 55-year-old woman presented discoid lupus erythematosus (DLE) oral and skin lesions with the rare association of chronic desquamative gingivitis (CDG). The latter is not a characteristic manifestation of lupus erythematosus, and to our knowledge the present case is the first such association reported in the literature. An analysis is made of the oral and skin lesions, with a discussion of the clinical and histopathological findings of this rare association. CDG is not considered a separate clinical entity, but rather as a nonspecific, chronic manifestation of different pathological processes -fundamentally dermatopathies involving oral lesions. A review is made of the conditions that can coincide or initially manifest with CDG, along with the histopathological diagnostic criteria of DLE. The importance of direct immunofluorescence in the differential diagnosis of the described lesions is assessed, and topical corticoid treatment is advised whenever oral lesions are present -regardless of the general therapy provided for the underlying systemic disease or the sun screen measures adopted.