medigraphic.com
ISSN 2007-4360 (Print)
Asociación Mexicana de Periodontología, Colegio de Periodoncistas A.C

2019, Number 3

<< Back Next >>

Rev Mex Periodontol 2019; 10 (3)

Desquamative gingivitis associated with mucous membrane pemphigoid

Guardado LI, Guzmán BP, Nava VM, Padilla RM, López VS, Peña RJM

Language: Spanish
References: 25
Page: 54-57
PDF size: 887.49 Kb.


ABSTRACT

Desquamative gingivitis associated with penfigoid mucous membranes (MMP) (ICD-10 L10), is an entity corresponding to gingival disease not related to bacterial plaque that is part of a heterogeneous group of ampullary, autoimmune and chronic disorders, which manifest clinically as areas with symptomatic erythema on the gum, that when rubbing form a bulla, which is known as Nikolsky positive. The histopathological study is characterized by sub-basal division with the presence of inflammatory infiltrate in the lamina propria relevant to the deposits of complement proteins and immunoglobulins. The direct immunofluorescence test shows linear deposits of inmonuglobulins, mainly IgG and complement on the basement membrane. We describe a case examined the relationship between the periodontist and the oral pathologist for the diagnosis of mucous membrane pemphigoid.


REFERENCES

  1. Sorrin S. Chronic desquamative gingivitis. JADA. 1940; 27: 250-257.

  2. McCarthy PL, Shklar G. Disease of the oral mucosa: diagnosis, management and therapy. New York: McGraw Book Co.; 1964. pp. 183-191.

  3. Hardy KM, Perry HO, Pingree GC, Kirby TJ. Benign mucous membrane pemphigoid. Arch Dermatol. 1971; 104: 467-475.

  4. Person JR, Rogers RS III. Bullous and cicatricial pemphigoid: clinical, histopathological, and immunopathologic correlations. Mayo Clin Proc. 1977; 52: 54-66.

  5. Rogers RS III, Perry HO, Bean SF, Jordon RE. Immunopathology of cicatricial pemphigoid: Studies of complement deposition. J Invest Dermatol. 1977; 68: 39-43.

  6. Rogers RS III, Sheridan PJ, Nightingale SH. Desquamative gingivitis: Clinical, histopathologic, immunopathologic, and therapeutic observations. J Am Acad Dermatol. 1982; 7: 729-735.

  7. Silverman S, Gorsky M, Lozada-Nur F, Liu A. Oral mucous membrane pemphigoid: a study of 65 patients. Oral Surg Oral Med Oral Pathol. 1986; 61: 233-237.

  8. Foster C. Cicatricial pemphigoid. Trans Am Ophthalmol Soc. 1986; 84: 527-663.

  9. Hanson RD, Olson KD, Rogers RS III. Upper aerodigestive tract manifestations of cicatricial pemphigoid. Ann Otol Rhinol Laryngol. 1988; 97: 493-499.

  10. Chan LS. Mucous membrane pemphigoid. Clin Dermatol. 2001; 19: 703-711.

  11. Chan LS, Ahmed AR, Anhalt GJ et al. The first international consensus on mucous membrane pemphigoid: definition, diagnostic, pathogenic factors, medical treatment, and prognostic indicators. Arch Dermatol. 2002; 138: 370-379.

  12. Setterfield J, Shirlaw PJ, Kerr-Muir M et al. Mucous membrane pemphigoid: A dual circulating antibody response with IgG and IgA signifies a more severe and persistent disease. Br J Dermatol. 1998; 138: 602-610.

  13. Venning VA, Allen J, Millard PR, Wojnarowska F. The localization of the bullous pemphigoid and cicatricial pemphigoid antigens: direct and indirect immunofluorescence of suction blisters. Br J Dermatol. 1989; 120: 305-315.

  14. Holmstump P, Plemons J, Meyle J. Non-plaque-induced gingival diseases. J Clin Periodontol. 2018; 45 (Suppl 20): S28-S43.

  15. Hassona Y, Cirillo N, Taimeh D, Al Khawaldeh H, Sawair F. Diagnostic patterns and delays in autoimmune blistering diseases of the mouth: a cross-sectional study. Oral Dis. 2018; 24: 802-808.


  16. Maderal AD, Lee Salisbury P 3rd, Jorizzo JL. Desquamative gingivitis: clinical findings and diseases. J Am Acad Dermatol. 2018; 78: 839-848.

  17. Sciubba JJ. Autoimmune oral mucosal diseases: clinical, etiological, diagnostic, and treatment considerations. Dent Clin N Am. 2011; 55: 89-103.

  18. Maderal AD, Lee Salisbury P 3rd, Jorizzo JL. Desquamative gingivitis: diagnosis and treatment. J Am Acad Dermatol. 2018; 78: 851-861.

  19. Karagoz G, Bektas-Kayhan K, Unur M. Desquamative gingivitis: A review. J Istanb Univ Fac Dent. 2016; 50: 54-60.

  20. Arduino PG, Farci V, D’Aiuto F, Carcieri P, Carbone M, Tanteri C et al. Periodontal status in oral mucous membrane pemphigoid: initial results of a case-control study. Oral Dis. 2011; 17: 90-94.

  21. Tricamo MB, Rees TD, Hallmon WW, Wright JM, Cueva MA, Plemons JM. Periodontal status in patients with gingival mucous membrane pemphigoid. J Periodontol. 2006; 77: 398-405.


  22. Lo Russo L, Guiglia R, Pizzo G, Fierro G, Ciavarella D, Lo Muzio L et al. Effect of desquamative gingivitis on periodontal status: a pilot study. Oral Dis. 2010; 16: 102-107.

  23. Azizi A, Rezaee M. Comparison of periodontal status in gingival oral lichen planus patients and healthy subjects. Dermatol Res Pract. 2012; 2012: 561232.


  24. Thorat MS, Raju A, Pradeep AR. Pemphigus vulgaris: effects on periodontal health. J Oral Sci. 2010; 52: 449-454.

  25. Garcia-Pola MJ, Rodriguez-López S, Fernánz-Vigil A, Bagán L, Garcia-Martín JM. Oral hygiene instructions and professional control as part of the treatment of desquamative gingivitis. Systematic review. Med Oral Patol Oral Cir Bucal. 2019; 24 (2): e136-e144.




2020     |     www.medigraphic.com