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增殖性脓性口炎:隐匿性克罗恩病诊断的线索

Pyostomatitis Vegetans: A Clue for Diagnosis of Silent Crohn's Disease.

作者信息

Atarbashi-Moghadam Saede, Lotfi Ali, Atarbashi-Moghadam Fazele

机构信息

Assistant Professor, Department of Oral and Maxillofacial Pathology, Dental School of Shahid Beheshti University of Medical Sciences , Tehran, Iran .

Retired Assistant Professor, Department of Oral and Maxillofacial Pathology, Dental School of Shahid Beheshti University of Medical Sciences , Tehran, Iran .

出版信息

J Clin Diagn Res. 2016 Dec;10(12):ZD12-ZD13. doi: 10.7860/JCDR/2016/22573.9032. Epub 2016 Dec 1.

Abstract

Pyostomatitis vegetans is a very rare oral manifestation with unknown pathogenesis. Skin and other mucous membrane involvement may be seen. This lesion has strong association with Inflammatory Bowel Disease (IBD) and may be the first sign of it. The management of Pyostomatitis vegetans is usually based on the management of underlying bowel disease. We present a case of Pyostomatitis vegetans involving gingiva and oral mucosa with no skin lesion which led to the diagnosis of Crohn's disease to emphasize important role of dentists in diagnosis of rare oral lesions and management of patients' systemic disease.

摘要

增殖性口炎是一种发病机制不明的极为罕见的口腔表现。可见皮肤和其他黏膜受累。这种病变与炎症性肠病(IBD)密切相关,可能是其首发症状。增殖性口炎的治疗通常基于潜在肠道疾病的治疗。我们报告一例增殖性口炎累及牙龈和口腔黏膜但无皮肤损害的病例,该病例导致了克罗恩病的诊断,以强调牙医在罕见口腔病变诊断及患者全身性疾病治疗中的重要作用。

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Pyostomatitis Vegetans: A Clue for Diagnosis of Silent Crohn's Disease.增殖性脓性口炎:隐匿性克罗恩病诊断的线索
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