Abstract
Pemphigus vulgaris PV , is an autoimmune, vesiculobullous mucocutaneous disease that manifests itself initially in the mouth in the majority of patients. Patients with PV require treatment with systemic corticosteroids and immunosuppressive agents, although these medications often cause chronic and serious adverse effects. Providing dental treatment to patients with mucocutaneous disorders is a challenge for clinicians. Medications and fragility of the gingiva require caution during treatment. This case describes diagnosis, medical and advanced dental treatment of a PV patient
References
- Becker, B. A., Gaspari, A. A. Pemphigus vulga- ris and vegetans. Dermatol. Clin. 11: 429-452, 1993.
- Korman, N. J. New and emerging therapies in the treatment of blistering diseases. Dermatol. Clin. 18: 127-137, 2000.
- Sirois, D. A., Fatahzadeh, M., Roth, R., Ettlin, D. Diagnostic patterns and delays in pemphigus vul- garis: experience with 99 patients. Arch. Derma- tol. 136: 1569-1570, 2000.
- Udey, M. C., Stanley, J. R. Pemphigus--diseases of antidesmosomal autoimmunity. JAMA. 282: 572-576, 1999.
- Endo, H., Rees, T. D., Matsue, M., Kuyama, K., Nakadai, M., Yamamoto, H. Early detection and successful management of oral pemphigus vulga- ris: a case report. J. Periodontol. 76: 154-160, 2005.
- Stanley, J. R. Pathophysiology and therapy of pemphigus in the 21st century. J. Dermatol. 28: 645-646, 2001.
- Sirois, D., Leigh, J. E., Sollecito, T. P. Oral pemp- higus vulgaris preceding cutaneous lesions: re- cognition and diagnosis. J. Am. Dent. Assoc. 131: 1156-1160, 2000.
- Siegel, M. A., Silverman, S., Sollecito, T. P., Ame- rican Academy Of Oral Medicine. Treatment of common oral conditions. Hamilton, Ontario: BC Decker; 2006: xiv, 71 p.
- Toscano, N. J., Holtzclaw, D. J., Shumaker, N. D., Stokes, S. M., Meehan, S. C., Rees, T. D. Surgical considerations and management of pa- tients with mucocutaneous disorders. Compend. Contin. Educ. Dent. 31: 344-350, 352-349; quiz 362, 364, 2010.
- Stanley, J. R. Therapy of pemphigus vulgaris. Arch. Dermatol. 135: 76-78, 1999.
Abstract
Pemfigus vulgaris PV , hastaların çoğunda ilk olarak ağız içi semptom veren otoimmün, vezikülobüllöz mukokutanöz bir hastalıktır. PV’li hastaların tedavisinde, sıklıkla kronik ve önemli yan etkilere neden olan sistemik kortikosteroid ve immünsüpresif ajanlar kullanılmaktadır. Klinisyenler için mukokutanöz hastalığı olan bireylerin dental tedavisi genellikle zordur. Kullanılan ilaçlar ve diş etinin frajil yapısı tedavi sırasında dikkatli olunmasını gerektirmektedir. Bu vaka raporunda PV’li bir hastanın teşhisi, tıbbi ve ileri dental tedavisi sunulmuştur
References
- Becker, B. A., Gaspari, A. A. Pemphigus vulga- ris and vegetans. Dermatol. Clin. 11: 429-452, 1993.
- Korman, N. J. New and emerging therapies in the treatment of blistering diseases. Dermatol. Clin. 18: 127-137, 2000.
- Sirois, D. A., Fatahzadeh, M., Roth, R., Ettlin, D. Diagnostic patterns and delays in pemphigus vul- garis: experience with 99 patients. Arch. Derma- tol. 136: 1569-1570, 2000.
- Udey, M. C., Stanley, J. R. Pemphigus--diseases of antidesmosomal autoimmunity. JAMA. 282: 572-576, 1999.
- Endo, H., Rees, T. D., Matsue, M., Kuyama, K., Nakadai, M., Yamamoto, H. Early detection and successful management of oral pemphigus vulga- ris: a case report. J. Periodontol. 76: 154-160, 2005.
- Stanley, J. R. Pathophysiology and therapy of pemphigus in the 21st century. J. Dermatol. 28: 645-646, 2001.
- Sirois, D., Leigh, J. E., Sollecito, T. P. Oral pemp- higus vulgaris preceding cutaneous lesions: re- cognition and diagnosis. J. Am. Dent. Assoc. 131: 1156-1160, 2000.
- Siegel, M. A., Silverman, S., Sollecito, T. P., Ame- rican Academy Of Oral Medicine. Treatment of common oral conditions. Hamilton, Ontario: BC Decker; 2006: xiv, 71 p.
- Toscano, N. J., Holtzclaw, D. J., Shumaker, N. D., Stokes, S. M., Meehan, S. C., Rees, T. D. Surgical considerations and management of pa- tients with mucocutaneous disorders. Compend. Contin. Educ. Dent. 31: 344-350, 352-349; quiz 362, 364, 2010.
- Stanley, J. R. Therapy of pemphigus vulgaris. Arch. Dermatol. 135: 76-78, 1999.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | January 1, 2012 |
| Published in Issue | Year 2012 Volume: 5 Issue: 4 |