Department of Stomatology, Bauru School of Dentistry, University of São Paulo, Al. Dr Otávio Pinheiro Brisolla 9-75, Bauru, SP, Brazil.
Am J Otolaryngol. 2011 Jul-Aug;32(4):338-42. doi: 10.1016/j.amjoto.2010.03.005. Epub 2010 Apr 30.
This article describes a case of pemphigus vulgaris in a relatively young patient with exacerbated characteristics, widespread lesions, and rapid evolution. A 40-year-old woman sought treatment, complaining about severe oral pain and dysphagia. Intraoral inspection revealed ulcerated lesions on the lips, buccal mucosa, and floor of the mouth. The number of lesions quickly increased and resembled erythema multiforme. She also presented blistering lesions on the back, abdomen, neck, and eyes. Incisional oral biopsy revealed pemphigus vulgaris. This report emphasizes the importance of early diagnosis of an oral biopsy in systemic diseases and the management of the lesions.
本文描述了一例相对年轻的寻常型天疱疮患者，其具有病情加重、广泛病变和快速进展的特点。一名 40 岁女性因严重口腔疼痛和吞咽困难就诊。口腔检查发现嘴唇、颊黏膜和口底有溃疡性病变。病变数量迅速增加，类似多形红斑。她的背部、腹部、颈部和眼睛也出现水疱性病变。口腔活检显示寻常型天疱疮。本报告强调了在系统性疾病中早期诊断口腔活检和管理病变的重要性。
