NUMERO: #20230196

Título: Oral ulcers associated with Inflammatory Bowel Disease

Nome do Apresentador: Rene PANICO

Categoria do Trabalho: Apresentação oral de casos clínicos (AOC)

Área Temática: Estomatologia

Resumo: BACKGROUND: Ulcerative Colitis (UC) is an autoimmune intestinal disease characterized by abdominal pain, diarrhea, rectal bleeding, etc. Extraintestinal manifestations, including oral lesions, may help in the diagnosis.
Aim: to report a rare case of UC-associated oral manifestations.
CASE REPORT: A 71-year-old woman with UC presented with oral and skin lesions of three months´ evolution. She presented with painful necrotic ulcers involving tongue and soft palate. Laboratory tests were altered and biopsies of oral and skin lesions were performed, resulting in the same histopathology: a nonspecific ulcer with an infiltrate predominantly of neutrophils and giant cells. The skin lesion showed areas that tended to abscess. In this clinical context, it was diagnosed as UC-assosicated pyoderma gangrenosum. The patient was referred to her gastroenterologist.
CONCLUSION: Oral lesions could contribute to the initial diagnosis of inflammatory bowel diseases and also to the monitoring of UC relapses. These patients should be periodically examined by Oral Medicine specialists.

Autor 1:  Rene PANICO

E-mail 1:  [email protected]

Autor 2:   Gerardo GILLIGAN

E-mail 2:  [email protected]