medigraphic.com
ISSN 1561-297X (Print)

2019, Number 4

<< Back Next >>

Rev Cubana Estomatol 2019; 56 (4)

Exclusively oral psoriasis

Assis MS, Furtado SD, Muniz AP, Lyra AAC

Language: Portugués
References: 18
Page: 1-10
PDF size: 580.11 Kb.


ABSTRACT

Introduction: Psoriasis is a chronic inflammatory and recurrent skin disease that rarely occurs solely and primarily in the oral mucosa.
Objective: Describe a case of primary psoriasis of the oral mucosa.
Case presentation: A 16-year-old female patient attends consultation and reports "a spot that hurts when eating." Clinical observation revealed the presence of leukoplastic, exophytic plaque and an ulcer. Histopathological examination confirmed the suspicion of psoriasiform mucositis. The treatment chosen for the psoriatic lesions was topical application of betamethasone valerate 1 mg/g for three weeks. After two weeks of treatment, the patient returned for clinical reassessment and the treatment applied was found to have been successful.
Conclusions: Exclusively oral psoriasis is an uncommon condition. Multi-faceted clinical presentation and the absence of local or systemic associated alterations were key elements in the diagnostic suspicion. Surgical removal of the exophytic lesion and application of topical betamethasone led to locoregional control.


REFERENCES

  1. Neville BW, Damm DD, Allen CM, Chi AC. Patologia oral e maxilofacial. 4th ed. Rio de Janeiro: Elsevier; 2016.

  2. Affandi AM, Khan I, Saaya NN. Epidemiology and Clinical Features of Adult Patients with Psoriasis in Malaysia: 10-Year Review from the Malaysian Psoriasis Registry (2007-2016). Dermatol Res Pract. 2018;2018:437-71 .

  3. Wu MF, Li S, Qian YM, Li X, Chen Y, Wei RY, et al. Combination Therapy of Tacrolimus and Chinese Herb Medicated Bath in Children with Inverse Psoriasis. Chin J Integr Med. 2018;24(4):284-7.

  4. Ferreli C, Pinna AI, Pilloni L, Tomasini CF, Rongioletti F. Histopathological aspects of psoriasis and its uncommon variants. G Ital Dermatol Venereol. 2018;153(2):173-84.

  5. Michalek IM, Loring B, John SM. A systematic review of worldwide epidemiology of psoriasis. J Eur Acad Dermatol Venereol. 2017;31(2):205-12.

  6. Prignano F, Rogai V, Cavallucci E, Bitossi A, Hammen V, Cantini F. Epidemiology of Psoriasis and Psoriatic Arthritis in Italy —a Systematic Review. Curr Rheumatol Rep. 2018;20(7):43.

  7. Brooks JK, Kleinman JW, Modly CE, Basile JR. Resolution of psoriatic lesions on the gingiva and hard palate following administration of adalimumab for cutaneous psoriasis. Cutis. 2017;99(2):139-142.

  8. Fatahzadeh M. Manifestation of psoriasis in the oral cavity. Quintessence Int. 2016;47(3):241-7.

  9. Mattsson U, Warfvinge G, Jontell M. Oral psoriasis –a diagnostic dilemma. A report of two cases and a review of the literature. Oral Surg, Oral Med, Oral Pathol Oral Radiol. 2015;120(4):183-9.

  10. Zimmermann C, Meurer MI, Rivero ERC, Santos AMB, Silva MC, Grando LJ. Psoriasis: a rare case of intraoral lesions. Oral Surg, Oral Med, Oral Pathol Oral Radiol. 2015;120(2):37.

  11. Bouslama G, Hasni W, Massoud NSB, Youssef SB, Boughzela A. Isolated lip involvement in psoriasis: an uncommon aspect of a common dermatologic condition. J Oral Med Oral Surg. 2018;24(2):89-92

  12. Picciani BL, Souza TT, Santos VCB, Domingos TA, Carneiro S, Avelleira JC, et al. Geographic tongue and fissured tongue in 348 patients with psoriasis: correlation with disease severity. Sci World. J. 2015;2015:1-7.

  13. Tarakji B, Umair A, Babaker Z, Azzeghaiby SN, Gazal G, Sarraj F. Relation Between Psoriasis and Geographic Tongue. J Clin Diagn Res. 2014;8(11):ZE06-ZE07.

  14. Doddabasavaiah BN, Shivanand BB, Deepak BS, Ashwini R. Paediatric Geographic Tongue: A Case Report, Review and Recent Updates. J Clin Diagn Res. 2016;10(2):ZE05-ZE09.

  15. Picciani B, Santos VC, Teixeira-Souza T, Izahias LM, Curty Á, Avelleira JC, et al. Investigation of the clinical features of geographic tongue: unveiling its relationship with oral psoriasis. Int J Dermatol. 2017;56(4):421-7.

  16. Pourchot D, Chiaverini C, Bourrat E, Barbarot S, Vabres P, Hubiche T, et al. Tongue psoriasis: Clinical aspects and analysis of epidemiological associations in 313 children, with a systematic literature review. Ann Dermatol Venereol. 2018. doi: 10.1016/j.annder.2018.04.003 [Epub ahead of print].

  17. Rizvi S, Chaudhari K, Syed BA. The psoriasis drugs Market. Nat Rev Drug Discov. 2015;14(11):745-6.

  18. van Geel MJ, Mul K, de Jager ME, van de Kerkhof PC, de Jong EM, Seyger MM. Systemic treatments in paediatric psoriasis: a systematic evidence‐based update. J Eur Acad Dermatol Venereol. 2015;29(3):425-37.




2020     |     www.medigraphic.com