Cribier B, Ndiaye I, Grosshans E
Clinique Dermatologique des Hôpitaux Universitaires, Université Louis Pasteur, Hôpital Civil, Strasbourg.
Rev Stomatol Chir Maxillofac. 1993;94(3):148-51.
A 52-year-old man presented with a chronic erosive gingivitis associated with eroded genital lesions which caused preputial adhesions. Histological examination of the gingival lesions showed typical changes of erosive lichen planus. A few months later, pseudo-peladic alopecia of the vertex and lichen planus lesions of the mouth appeared. Local steroids were ineffective to treat oral erosions, but the lesions were not painful. After one year, all changes remained unchanged. We therefore propose the diagnosis of erosive lichen planus involving the mucous membranes of mouth and genitalia; this association was never reported in male patients. This syndrome represents the exact male equivalent of the vulvo-vagino-gingival syndrome described in women. "Genito-gingival syndrome" is therefore proposed for this new clinical form of erosive lichen planus.
一名52岁男性,患有慢性糜烂性牙龈炎,伴有生殖器糜烂性病变,导致包皮粘连。牙龈病变的组织学检查显示为糜烂性扁平苔藓的典型变化。几个月后,头顶出现假性斑秃,口腔出现扁平苔藓病变。局部使用类固醇治疗口腔糜烂无效,但病变无疼痛。一年后,所有症状均无变化。因此,我们诊断为累及口腔和生殖器黏膜的糜烂性扁平苔藓;这种关联在男性患者中从未有过报道。该综合征与女性中描述的外阴-阴道-牙龈综合征完全等同。因此,对于这种糜烂性扁平苔藓的新临床形式,我们提出“生殖器-牙龈综合征”这一名称。