NUMERO: #20220323

Título: THE ROLE OF THE PERIODONTIST IN THE DIAGNOSIS OF AUTOIMMUNE DISEASES

Nome do Apresentador: Karine Duarte da SILVA

Categoria do Trabalho: Trabalhos Aprovados para Disponibilização em Vídeo (ADV)

Área Temática: Estomatologia

Resumo: A 36-year-old female patient sought the periodontist complaining of painful oral lesions with a 9-month evolution. According to her, the gum "came to pieces". She presented areas of erythema in the marginal gingiva, more visible in the lower anterior teeth region. Lesions were associated with edema and erosion, followed by ulceration. The condition was initially misdiagnosed and treated as inflammatory periodontal disease. Thereafter, the patient search for a stomatologist who found, in addition to desquamative gingivitis, ulcerated areas on the dorsum and lateral edges of the tongue. The clinical suspicion of pemphigus vulgaris or pemphigoid of the mucous membranes was raised. Topical corticosteroid therapy was employed, with reduction of the pain. Then, an incisional biopsy confirmed the suspicion of pemphigus vulgaris. Systemic corticosteroid therapy was also introduced, resulting in a considerable reduction of the lesions. The patient had some side effects of corticosteroid therapy, and remains under follow-up.

Autor 1:  Karine Duarte da SILVA

E-mail 1:  [email protected]

Autor 2:   Caroline Lopes SCHMALFUSS

E-mail 2:  [email protected]

Autor 3 :  Eduardo Ferreira DE MARIA

E-mail 3:  [email protected]

Autor 4:  Felipe Wagner de MELLO

E-mail 4:  [email protected]

Autor 5:  Guilherme Alan Vasques da SILVA

E-mail 5:  [email protected]

Autor 6:  Débora Oliveira BITENCOURT

E-mail 6:  [email protected]

Autor 7:  Ana Paula Neutzling GOMES

E-mail 7:  [email protected]