Tenório JR, Tuma MM, Andrade NS, Santana T, Gallottini M. Oral manifestations of autoimmune polyglandular syndrome type 1.
SPECIAL CARE IN DENTISTRY 2022;
42:531-535. [PMID:
35182449 DOI:
10.1111/scd.12703]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 01/28/2022] [Accepted: 02/01/2022] [Indexed: 11/28/2022]
Abstract
AIMS
Autoimmune polyglandular syndrome type I (APS-I) is a rare condition of autosomal recessive and monogenic inheritance, which is characterized clinically by at least two signs of the classic triad: mucocutaneous candidosis, hypoparathyroidism, and Addison's disease. This study aims to report the oral manifestations of APS-I in a 42-year-old woman, who attended the Special Care Dentistry Center.
METHODS AND RESULTS
The patient presented with hypoparathyroidism, diabetes mellitus, and autoimmune hepatitis. Chronic hyperplastic candidosis (CHC) was the main oral manifestation and it was diagnosed based on clinical and cytologic characteristics. Microstomia, angular cheilitis, xerostomia, enamel hypoplasia, and microdontia were also present.
CONCLUSIONS
CHC was treated with topical nystatin and oral fluconazole, resulting in a significant improvement of the lesions.
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