NUMERO: #20250529

Título: ORAL MANIFESTATIONS OF SYSTEMIC LUPUS ERYTHEMATOSUS: THE IMPORTANCE OF A MULTIDISCIPLINARY CARE

Nome do Apresentador: André REINALDIM

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Odontologia hospitalar

Resumo: A 39-year-old female patient with systemic lupus erythematosus was referred for dental care due to painful oral lesions that emerged after discontinuation of systemic corticosteroids. Clinical examination revealed ulcerated and erosive lesions on the buccal mucosa and lips, accompanied by white striae and non-removable plaques, consistent with lupus-related mucosal involvement. Periodontal disease was also present. Initial treatment included topical corticosteroids, photobiomodulation therapy (PBM), and supragingival scaling, with partial improvement. During treatment, the patient was hospitalized due to a genital cytomegalovirus infection, and concurrent worsening of oral lesions raised suspicion of cytomegalovirus coinfection in the oral cavity. Antimicrobial photodynamic therapy was administered empirically during this period. Following resolution of the systemic condition, intraoral PBM and intralesional corticosteroid injections were resumed, resulting in significant healing, alongside the reintroduction of systemic corticosteroids. This case underscores the need for interdisciplinary care and dental follow-up in managing oral lesions in immunosuppressed patients with autoimmune diseases.

Autor 1:  André REINALDIM

E-mail 1:  [email protected]

Autor 2:   Rebeca Luzia Solarte BARBOSA

E-mail 2:  [email protected]

Autor 3 :  Maria Eduarda Dias Monteiro Bispo CHAVES

E-mail 3:  [email protected]

Autor 4:  Melissa Rodrigues de ARAÚJO

E-mail 4:  [email protected]

Autor 5:  Juliana Lucena SCHUSSEL

E-mail 5:  [email protected]

Autor 6:  Heliton Gustavo de LIMA

E-mail 6:  [email protected]