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口腔寻常型天疱疮:20例临床病理研究

Oral pemphigus vulgaris: clinicopathologic study of 20 cases.

作者信息

Shamim T, Varghese V Ipe, Shameena P M, Sudha S

机构信息

Department of Oral Pathology and Microbiology, Govt. Dental College, Calicut.

出版信息

Indian J Pathol Microbiol. 2007 Jul;50(3):498-501.

PMID:17883117
Abstract

Pemphigus vulgaris (PV) is a vesiculobullous lesion that produces intraepithelial blisters in skin and mucous membrane. The oral mucosa is often the first site to be affected by the disease. Although oral PVis a well characterized condition, the detailed clinical and histopathological study in Malabar population has not been reported. A clinicopathologic study of 20 cases of oral PV observed over a span of 2 years from January 2004 to January 2006 is reported. For these 20 cases, the mean age was 42.3 years and male:female ratio was 2:3. The most commonly affected sites were the buccal mucosa and palate. Histopathologic examination with direct immunofluorescence was the method of diagnosis in all cases. Suprabasilar clefting with acantholytic cells can be seen histopathologically and IgG positivity in direct immunofluorescence in all cases that have been studied.

摘要

寻常型天疱疮(PV)是一种水疱大疱性病变,可在皮肤和黏膜产生上皮内水疱。口腔黏膜常是该疾病首先受累的部位。尽管口腔PV是一种特征明确的病症,但在马拉巴尔人群中尚未有详细的临床和组织病理学研究报告。本文报道了一项对2004年1月至2006年1月这两年间观察到的20例口腔PV病例的临床病理研究。这20例患者的平均年龄为42.3岁,男女比例为2:3。最常受累的部位是颊黏膜和腭部。所有病例均采用直接免疫荧光组织病理学检查进行诊断。组织病理学可见基底上裂隙及棘层松解细胞,且在所有研究病例的直接免疫荧光检查中均可见IgG阳性。

相似文献

1
Oral pemphigus vulgaris: clinicopathologic study of 20 cases.口腔寻常型天疱疮:20例临床病理研究
Indian J Pathol Microbiol. 2007 Jul;50(3):498-501.
2
[Isolated pemphigus vulgaris of the mouth mucosa--pemphigus test: diagnostic confirmation using direct immunofluorescence study of normal skin].
Hautarzt. 1991 Oct;42(10):623-6.
3
Pemphigus vulgaris. A presentation of 14 cases and review of the literature.寻常型天疱疮。14例病例报告及文献综述。
Med Oral Patol Oral Cir Bucal. 2005 Aug-Oct;10(4):282-8.
4
Pemphigus vulgaris in oral cavity: clinical analysis of 71 cases.口腔寻常型天疱疮:71例临床分析
Med Oral Patol Oral Cir Bucal. 2008 Oct 1;13(10):E622-6.
5
Cytodiagnosis of oral pemphigus vulgaris.寻常型口腔天疱疮的细胞诊断
Acta Cytol. 1985 Sep-Oct;29(5):746-9.
6
Pemphigus vulgaris: a case-based update.寻常型天疱疮:基于病例的最新进展
J Can Dent Assoc. 2005 Oct;71(9):667-72.
7
A rare presentation of oral pemphigus vulgaris as multiple pustules.寻常型天疱疮以多发性脓疱为罕见表现。
Kathmandu Univ Med J (KUMJ). 2007 Oct-Dec;5(4):541-5.
8
Oral pemphigus vulgaris. A report of ten cases.寻常型天疱疮口腔表现。10例报告。
Arch Dermatol. 1977 Nov;113(11):1520-4.
9
[Oral pemphigus].
Ned Tijdschr Tandheelkd. 2006 May;113(5):206-8.
10
[Use of direct immunofluorescence testing on cellular smears in the diagnosis of oral pemphigus vulgaris].[细胞涂片直接免疫荧光检测在寻常型口腔天疱疮诊断中的应用]
Zhonghua Kou Qiang Ke Za Zhi. 1984 Jun;19(2):76-7.

引用本文的文献

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Dermoscopy of Oral Mucosal Lesions: Experience from a Tertiary Care Center in North India and Review of Literature.口腔黏膜病变的皮肤镜检查:来自印度北部一家三级医疗中心的经验及文献综述
Indian Dermatol Online J. 2022 May 5;13(3):346-360. doi: 10.4103/idoj.idoj_661_21. eCollection 2022 May-Jun.
2
Non infective bullous lesions: a diagnostic challenge in a minimally equipped centre- based solely on microscopic findings.非感染性大疱性病变:在设备简陋的中心仅基于显微镜检查结果进行诊断面临挑战。
Afr Health Sci. 2020 Jun;20(2):885-890. doi: 10.4314/ahs.v20i2.42.
3
World Workshop of Oral Medicine VII: A systematic review of immunobiologic therapy for oral manifestations of pemphigoid and pemphigus.
第七届世界口腔医学研讨会:天疱疮和类天疱疮口腔表现的免疫生物学治疗的系统评价。
Oral Dis. 2019 Jun;25 Suppl 1(Suppl 1):111-121. doi: 10.1111/odi.13083.
4
Oral Lesions: The Clue to Diagnosis of Pemphigus Vulgaris.口腔病变:寻常型天疱疮诊断的线索
Case Rep Dent. 2015;2015:593940. doi: 10.1155/2015/593940. Epub 2015 Nov 19.
5
Simple scoring system for oral pemphigus vulgaris.寻常型口腔天疱疮的简易评分系统。
Indian J Dermatol. 2013 Mar;58(2):164. doi: 10.4103/0019-5154.108115.