Pyostomatitis vegetans and its relation to inflammatory bowel disease, pyoderma gangrenosum, pyodermatitis vegetans, and pemphigus.

J Oral Pathol Med (2012) 41: 584-588 Pyostomatitis vegetans (PSV) is an intraoral pustular eruption considered by most authors to represent the mucous analogous of cutaneous pyoderma gangrenosum and its vegetating presentations (pyodermatitis vegetans). A strong correlation of PSV with inflammatory...

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Publicado en:Journal of Oral Pathology & Medicine Vol. 41; no. 8; pp. 584 - 589
Autores principales: Nico MM, Hussein TP, Aoki V, Lourenço SV
Formato: case study Journal Article
Publicado: Wiley-Blackwell Sep2012
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
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        10.1111/j.1600-0714.2012.01152.x
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        atl: Pyostomatitis vegetans and its relation to inflammatory bowel disease, pyoderma gangrenosum, pyodermatitis vegetans, and pemphigus.
      aug:
        au:
          Nico MM
          Hussein TP
          Aoki V
          Lourenço SV
        affil: Department of Dermatology, Medical School, University of Sao Paulo, Sao Paulo, Brazil Department of Pathology, Dental School, University of Sao Paulo, Sao Paulo, Brazil.
      sug:
        subj:
          Colitis Diagnosis
          Pemphigus Diagnosis
          Pyoderma Gangrenosum Diagnosis
          Pyoderma Diagnosis
          Stomatitis Diagnosis
          Adult
          Colitis, Ulcerative Diagnosis
          Complement Analysis
          Eosinophils Pathology
          Female
          Immunoglobulins Analysis
          Male
          Middle Age
          Mouth Mucosa Pathology
          Neutrophils Pathology
          Skin Diseases, Vesiculobullous Pathology
          Stomatitis Pathology
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: J Oral Pathol Med (2012) 41: 584-588 Pyostomatitis vegetans (PSV) is an intraoral pustular eruption considered by most authors to represent the mucous analogous of cutaneous pyoderma gangrenosum and its vegetating presentations (pyodermatitis vegetans). A strong correlation of PSV with inflammatory bowel disease (IBD) is well documented. The histopathology of PSV lesions usually reveals acanthosis, and neutrophils and/or eosinophils infiltration with intraepithelial or subepithelial abscesses; acantholysis is present in some cases. We studied four patients with IBD that presented oral lesions suggestive of PSV. Two male and two female patients were included. The histopathology of oral lesions of two patients revealed findings typical for PSV. The other two patients showed findings typical for pemphigus vulgaris (PV), although the course of their symptoms paralleled that of the bowel disease. Our findings may suggest that pustular lesions in patients with IBD can be a presentation of both PSV and PV; adequate diagnosis is required because clinical presentation is very similar.
      pubtype: Academic Journal
      doctype:
        case study
        Journal Article
      ougenre: Article
    language: English
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