1
|
Garg A, Warrier S A, Subadra K. A Diagnostic Challenge of Oral Psoriasis in a Pediatric Patient: A Case Report and Review of the Literature. Cureus 2023; 15:e49572. [PMID: 38156126 PMCID: PMC10754223 DOI: 10.7759/cureus.49572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/28/2023] [Indexed: 12/30/2023] Open
Abstract
Congenital psoriasis is a rare skin disease that can clinically manifest in the oral cavity in many ways. Although manifestations over the skin are frequent, oral manifestations are rare, especially in pediatric patients. A clear family history, proper examination, and investigations are essential to diagnose this condition. This case report aims to highlight the oral and systemic manifestations of a case of psoriasis in a male pediatric patient.
Collapse
Affiliation(s)
- Arnesh Garg
- Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND
| | - Aravind Warrier S
- Oral Medicine and Radiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND
| | - K Subadra
- Oral Medicine and Radiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND
| |
Collapse
|
2
|
Nery FVR, Souza DAS, Dantas JBDL, Martins GB, Reis SRDA, Medrado ARAP. Oral manifestations in patients diagnosed with psoriasis: A systematic review. SPECIAL CARE IN DENTISTRY 2023; 43:29-39. [PMID: 35714330 DOI: 10.1111/scd.12733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2021] [Revised: 05/05/2022] [Accepted: 05/09/2022] [Indexed: 01/21/2023]
Abstract
AIMS To identify the main types of oral lesions associated with psoriasis. METHODS AND RESULTS It was a systematic review, based on a search performed in the PubMed/Medline, and Scielo databases, and an associated manual search. Descriptors were selected from DeCs/MeSH and the PICOS strategy (population, intervention, comparison, outcomes, and study design) was applied. Randomized clinical trials and retrospective and prospective studies published from 2000 to 2022 were included, according to the PRISMA parameters (Preferred Reporting Items for Systematic Reviews and Meta-Analysis), registered in the PROSPERO platform. The STROBE quality scale (Strengthening the Reporting of Observational studies in Epidemiology) was also used. One hundred fourteen articles were identified using the search strategy, and nine articles were found in the manual search. Of the sixty-six preselected articles, seven were included in the study. Although it was not possible to identify a specific oral lesion associated with psoriasis, there was a greater occurrence of geographic tongue, fissured tongue, and Candida sp. infection CONCLUSION: Evidence shows that although patients with psoriasis may exhibit lesions in the oral mucosa, they are not specific to this condition. Further epidemiological studies are needed to address the association of psoriasis with possible changes in the oral mucosa.
Collapse
Affiliation(s)
| | | | - Juliana Borges de Lima Dantas
- PhD student of the Pos-graduate Program in Interactive Processes of Organs and Systems in the Institute of Health Sciences of the Federal University of Bahia, Professor at Bahiana - School of Medicine and Public Health, Professor of Adventist College of Bahia, Cachoeira, Bahia, Brazil
| | - Gabriela Botelho Martins
- PhD in Clinical Stomatology from PUC-RS, Associate Professor of Health Sciences Institute of the Federal University of Bahia, Salvador, Bahia, Brazil
| | | | | |
Collapse
|
3
|
Oral and Maxillo-Facial Manifestations of Systemic Diseases: An Overview. ACTA ACUST UNITED AC 2021; 57:medicina57030271. [PMID: 33809659 PMCID: PMC8002330 DOI: 10.3390/medicina57030271] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2021] [Revised: 03/12/2021] [Accepted: 03/12/2021] [Indexed: 12/12/2022]
Abstract
Many systemic (infective, genetic, autoimmune, neoplastic) diseases may involve the oral cavity and, more generally, the soft and hard tissues of the head and neck as primary or secondary localization. Primary onset in the oral cavity of both pediatric and adult diseases usually represents a true challenge for clinicians; their precocious detection is often difficult and requires a wide knowledge but surely results in the early diagnosis and therapy onset with an overall better prognosis and clinical outcomes. In the current paper, as for the topic of the current Special Issue, the authors present an overview on the most frequent clinical manifestations at the oral and maxillo-facial district of systemic disease.
Collapse
|
4
|
Pereira TDSF, Pantuzzo ES, Costa FPD, Lemos APV, Martins PDS, Kakehasi F, Silva AASD, Detomi L, Rodrigues KEDS, Travassos DV, Silva TA. Red-purple gingival enlargements in a pediatric patient. Oral Surg Oral Med Oral Pathol Oral Radiol 2021; 132:619-625. [PMID: 34031001 DOI: 10.1016/j.oooo.2021.02.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Revised: 02/13/2021] [Accepted: 02/22/2021] [Indexed: 10/22/2022]
Affiliation(s)
- Thaís Dos Santos Fontes Pereira
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Erika Soares Pantuzzo
- Multiprofessional Integrated Residency in Health, Hospital das Clínicas. Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Fernanda Pereira Delgado Costa
- Multiprofessional Integrated Residency in Health, Hospital das Clínicas. Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Ana Paula Vilaça Lemos
- Multiprofessional Integrated Residency in Health, Hospital das Clínicas. Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Priscila de Souza Martins
- Multiprofessional Integrated Residency in Health, Hospital das Clínicas. Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Fabiana Kakehasi
- Department of Pediatrics, Medicine Faculty, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | | | - Letícia Detomi
- Department of Pediatrics, Medicine Faculty, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Karla Emília de Sá Rodrigues
- Department of Pediatrics, Medicine Faculty, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Denise Vieira Travassos
- Multiprofessional Integrated Residency in Health, Hospital das Clínicas. Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Department of Social and Preventive Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Tarcília Aparecida Silva
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Multiprofessional Integrated Residency in Health, Hospital das Clínicas. Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
| |
Collapse
|
5
|
Leone C, Sugaya N, Migliari D. An Intriguing Case of Ectopic Benign Migratory Glossitis Resembling Secondary Syphilis: A Case Report. Case Rep Dermatol 2020; 12:262-265. [PMID: 33442352 PMCID: PMC7772831 DOI: 10.1159/000510776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2020] [Accepted: 08/09/2020] [Indexed: 11/19/2022] Open
Abstract
Oral mucosal lesions presenting as erythematous patches usually pose difficulties for a clinical diagnosis. They elicit an array of differential diagnosis that mainly includes oral candidosis, contact mucosal reaction, oral lichenoid lesion, oral psoriasiform, autoimmune disease, and, not to forget, secondary syphilis. In this present case, all those above-mentioned possibilities were ruled out, while secondary syphilis stood as the main diagnosis. As this was also later excluded by a negative serological treponemal test, the final diagnosis rested on an ectopic manifestation of benign migratory glossitis (BMG), whose diagnosis was based on the clinical aspects of the lesions, along with their spontaneous disappearance in a short period of time (a hallmark of this condition) and the presence of fissured tongue, a manifestation that occurs very often in concomitance with BMG.
Collapse
Affiliation(s)
| | | | - Dante Migliari
- *Dante Migliari, Departamento de Estomatologia, Faculdade de Odontologia, Universidade de São Paulo, Av. Prof. Lineu Prestes, 2227, Cidade Universitária, São Paulo, SP 05508-000 (Brazil),
| |
Collapse
|
6
|
Zlotogorski Hurvitz A, Zadik Y, Gillman L, Platner O, Shani T, Goldman Y, Chaushu G, Kaplan I, Barzilai A, Astman N, Reiter S, Vered M. Palatal Erythema with Histological Psoriasiform Pattern: An Enigmatic Oral Finding Shared by a Range of Conditions. Head Neck Pathol 2020; 14:1111-1116. [PMID: 31989432 PMCID: PMC7669949 DOI: 10.1007/s12105-020-01127-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2019] [Accepted: 01/09/2020] [Indexed: 01/07/2023]
Abstract
Long standing, asymptomatic, well-demarcated erythema of the hard palate with a histopathological psoriasiform pattern comprises a challenging diagnosis. We present a series of patients with such clinical and histological findings and discuss the possible diagnoses. We collected all patients with palatal erythematous lesions that had well-documented clinical examination. Excluded were patients with definitive diagnosis of oral infections (e.g. candidiasis), neoplastic/pre-neoplastic lesions, auto-immune diseases, reactive lesions, blood disorders and vascular malformations. Thirteen patients (six females, seven males, age range 11-56 years) were included. Histopathologically, a psoriasiform pattern was observed in all biopsied lesions. One patient was diagnosed with hereditary mucoepithelial dysplasia (HMD) and four with cutaneous psoriasis. The remaining eight patients were otherwise healthy. A combination of persistent, asymptomatic palatal erythematous lesion with psoriasis-like histopathology may represent an oral manifestation of HMD or psoriasis, concomitant to extra-oral features. In lack of any known medical background, the term "oral psoriasiform mucositis" is suggested.
Collapse
Affiliation(s)
- Ayelet Zlotogorski Hurvitz
- Department of Oral Pathology, Oral Medicine and Maxillofacial Imaging, School of Dental Medicine, Tel Aviv University, 69978 Tel Aviv, Israel ,Department of Oral and Maxillofacial Surgery, Rabin Medical Center, Petah Tikva, Israel
| | - Yehuda Zadik
- Department of Military Medicine, Hebrew University-Hadassah School of Medicine, Jerusalem, Israel ,Department of Oral Medicine, Sedation and Maxillofacial Imaging, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel
| | - Leon Gillman
- Department of Oral and Maxillofacial Surgery, Rabin Medical Center, Petah Tikva, Israel
| | - Ori Platner
- Department of Periodontology and Dental Implants, School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Tali Shani
- Hospital Unit of Oral Medicine, Galilee Medical Center, Nahariya, Israel
| | - Yuli Goldman
- Department of Oral Pathology, Oral Medicine and Maxillofacial Imaging, School of Dental Medicine, Tel Aviv University, 69978 Tel Aviv, Israel
| | - Gavriel Chaushu
- Department of Oral and Maxillofacial Surgery, Rabin Medical Center, Petah Tikva, Israel
| | - Ilana Kaplan
- Department of Oral Pathology, Oral Medicine and Maxillofacial Imaging, School of Dental Medicine, Tel Aviv University, 69978 Tel Aviv, Israel ,Institute of Pathology, Rabin Medical Center, Petah Tikva, Israel
| | - Aviv Barzilai
- Department of Dermatology, The Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - Nadav Astman
- Department of Dermatology, The Chaim Sheba Medical Center, Tel Hashomer, Israel ,Department of Dermatology, Medical Corps, Israel Defense Forces, Zrifin, Israel
| | - Shoshana Reiter
- Department of Oral Pathology, Oral Medicine and Maxillofacial Imaging, School of Dental Medicine, Tel Aviv University, 69978 Tel Aviv, Israel
| | - Marilena Vered
- Department of Oral Pathology, Oral Medicine and Maxillofacial Imaging, School of Dental Medicine, Tel Aviv University, 69978 Tel Aviv, Israel ,Institute of Pathology, The Chaim Sheba Medical Center, Tel Hashomer, Israel
| |
Collapse
|
7
|
Pourchot D, Chiaverini C, Bourrat E, Barbarot S, Vabres P, Hubiche T, Droicourt C, Piram M, Kupfer-Bessaguet I, Ferneiny M, Puzenat E, Balguérie X, Beauchet A, Bursztejn AC, Mahé E. Tongue psoriasis: Clinical aspects and analysis of epidemiological associations in 313 children, with a systematic literature review. Ann Dermatol Venereol 2019; 145:578-586. [PMID: 29773283 DOI: 10.1016/j.annder.2018.04.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2017] [Revised: 11/06/2017] [Accepted: 04/10/2018] [Indexed: 01/25/2023]
Abstract
BACKGROUND Little information is available on the prevalence and clinical aspects of tongue involvement in children with psoriasis. The aim was to evaluate the prevalence, clinical aspects and risk factors concerning tongue involvement in children with psoriasis. PATIENTS AND METHODS This study was carried out in two stages. We performed a multicentre, cross-sectional study in 23 French dermatology centers. All children seen for psoriasis during the one-year study were systematically included. The clinical features of the tongue and of psoriasis were recorded. Association with clinical aspects of psoriasis and comorbidities was evaluated. We then carried out a literature review to evaluate the prevalence of tongue involvement in children with psoriasis and its positive predictive value for psoriasis. A search was conducted in the PUBMED database using the following keywords: "child" and "psoriasis" and ("tongue" or "glossitis" or "migratory glossitis" or "benign migratory glossitis" or "geographic tongue" or "fissured tongue"). RESULTS 7.7% of the 313 children with psoriasis had tongue involvement. The clinical aspects were geographic tongue (4.2%), fissured tongue (2.8%) and both (0.64%). There was no association between tongue involvement and the clinical characteristics of the children. Two hundred and ninety-five articles were referenced and 3 were analysed. Psoriasis is very rare in cases of tongue abnormalities. CONCLUSION The prevalence of tongue involvement was 7.7% in children with psoriasis. No clinical or epidemiological association was shown. Tongue involvement does not modify the management of psoriasis. In the literature review it was not possible to evaluate either the prevalence of tongue involvement in psoriasis or the positive predictive value thereof.
Collapse
Affiliation(s)
- D Pourchot
- Dermatology department, hôpital Victor-Dupouy, 69, rue du Lieutenant-Colonel-Prud'hon, 95107 Argenteuil, France
| | - C Chiaverini
- Dermatology department, hôpital Archet 2, ESPIC CHU-Lenval, 06000 Nice, France
| | - E Bourrat
- General paediatrics department, hôpital Robert-Debré, Assistance publique-Hôpitaux de Paris, 75019 Paris, France
| | - S Barbarot
- Dermatology department, Hôtel-Dieu, 44000 Nantes, France
| | - P Vabres
- Dermatology department, centre hospitalier universitaire hôpital du Bocage, 21000 Dijon, France
| | - T Hubiche
- Dermatology and infectious diseases unit, centre hospitalier intercommunal de Fréjus/Saint-Raphaël, 240, avenue de Saint-Lambert, 83600 Fréjus, France
| | - C Droicourt
- Dermatology department, centre hospitalier universitaire Pontchaillou, 35000 Rennes, France
| | - M Piram
- Paediatric rheumatology department, CeRéMAI, université Paris Sud, centre hospitalier universitaire de Bicêtre, 94270 Le Kremlin-Bicêtre, France
| | - I Kupfer-Bessaguet
- Dermatology department, centre hospitalier de Cornouaille, 29000 Quimper, France; Dermatology department, centre hospitalier de Niort, 79000 Niort, France
| | - M Ferneiny
- Dermatology department, université Paris-Descartes Sorbonne Paris Cité, hôpital Necker-Enfants-Malades, Assistance publique-Hôpitaux de Paris, 75015 Paris, France
| | - E Puzenat
- Dermatology department, centre hospitalier universitaire Saint-Jacques, 3, boulevard Alexandre-Fleming, 25030 Besançon, France
| | - X Balguérie
- Dermatology department, centre hospitalier universitaire, Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France
| | - A Beauchet
- Public health department, université Versailles-Saint-Quentin-en-Yvelines, centre hospitalier universitaire Ambroise-Paré, Assistance publique-Hôpitaux de Paris, 92100 Boulogne-Billancourt, France
| | - A-C Bursztejn
- Dermatology department, hôpital Brabois, 54500 Vandœuvre-Lès-Nancy, France
| | - E Mahé
- Dermatology department, hôpital Victor-Dupouy, 69, rue du Lieutenant-Colonel-Prud'hon, 95107 Argenteuil, France.
| | | |
Collapse
|
8
|
Picciani BLS, Domingos TA, Teixeira-Souza T, Santos VDCBD, Gonzaga HFDS, Cardoso-Oliveira J, Gripp AC, Dias EP, Carneiro S. Geographic tongue and psoriasis: clinical, histopathological, immunohistochemical and genetic correlation - a literature review. An Bras Dermatol 2017; 91:410-21. [PMID: 27579734 PMCID: PMC4999097 DOI: 10.1590/abd1806-4841.20164288] [Citation(s) in RCA: 47] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2014] [Accepted: 05/26/2015] [Indexed: 02/08/2023] Open
Abstract
Geographic tongue is a chronic, inflammatory, and immune-mediated oral lesion of
unknown etiology. It is characterized by serpiginous white areas around the
atrophic mucosa, which alternation between activity, remission and reactivation
at various locations gave the names benign migratory glossitis and wandering
rash of the tongue. Psoriasis is a chronic inflammatory disease with frequent
cutaneous involvement and an immunogenetic basis of great importance in clinical
practice. The association between geographic tongue and psoriasis has been
demonstrated in various studies, based on observation of its fundamental
lesions, microscopic similarity between the two conditions and the presence of a
common genetic marker, human leukocyte antigen (HLA) HLA-C*06. The difficulty
however in accepting the diagnosis of geographic tongue as oral psoriasis is the
fact that not all patients with geographic tongue present psoriasis. Some
authors believe that the prevalence of geographic tongue would be much greater
if psoriatic patients underwent thorough oral examination. This study aimed to
develop a literature review performed between 1980 and 2014, in which
consultation of theses, dissertations and selected scientific articles were
conducted through search in Scielo and Bireme databases, from Medline and Lilacs
sources, relating the common characteristics between geographic tongue and
psoriasis. We observed that the frequency of oral lesions is relatively common,
but to establish a correct diagnosis of oral psoriasis, immunohistochemical and
genetic histopathological analyzes are necessary, thus highlighting the
importance of oral examination in psoriatic patients and cutaneous examination
in patients with geographic tongue.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | | | - Sueli Carneiro
- Universidade do Estado do Rio de Janeiro (UERJ) - Rio de Janeiro (RJ), Brazil
| |
Collapse
|
9
|
Erriu M, Pili FMG, Cadoni S, Garau V. Diagnosis of Lingual Atrophic Conditions: Associations with Local and Systemic Factors. A Descriptive Review. Open Dent J 2016; 10:619-635. [PMID: 27990187 PMCID: PMC5123136 DOI: 10.2174/1874210601610010619] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2016] [Revised: 10/09/2016] [Accepted: 10/15/2016] [Indexed: 12/16/2022] Open
Abstract
Atrophic glossitis is a condition characterised by absence of filiform or fungiform papillae on the dorsal surface of the tongue. Consequently, the ordinary texture and appearance of the dorsal tongue, determined by papillary protrusion, turns into a soft and smooth aspect. Throughout the years, many factors, both local and systemic, have been associated with atrophic glossitis as the tongue is currently considered to be a mirror of general health. Moreover, various tongue conditions were wrongly diagnosed as atrophic glossitis. Oral involvement can conceal underlying systemic conditions and, in this perspective, the role of clinicians is fundamental. Early recognition of oral signs and symptoms, through a careful examination of oral anatomical structures, plays a crucial role in providing patients with a better prognosis.
Collapse
Affiliation(s)
- M Erriu
- Department of Surgical Sciences, Cagliari University, Cagliari, Italy
| | - F M G Pili
- Department of Surgical Sciences, Cagliari University, Cagliari, Italy
| | - S Cadoni
- Digestive Endoscopy Unit, S. Barbara Hospital, Iglesias (CA), Italy
| | - V Garau
- Department of Surgical Sciences, Cagliari University, Cagliari, Italy
| |
Collapse
|
10
|
Fatahzadeh M, Schwartz RA. Oral Psoriasis: An Overlooked Enigma. Dermatology 2016; 232:319-25. [PMID: 27035486 DOI: 10.1159/000444850] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2015] [Accepted: 02/19/2016] [Indexed: 11/19/2022] Open
Abstract
Although cutaneous psoriasis is common, the existence of its manifestations in the oral cavity has been questioned. The definitive diagnosis of oral psoriasis can be challenging due to the variability of presentations, and overlapping clinical and histological features with a number of other conditions as well as the lack of consensus. We review oral psoriasis, noting its variable clinical appearance, delineate the differential diagnosis, and discuss management strategies.
Collapse
Affiliation(s)
- Mahnaz Fatahzadeh
- Department of Diagnostic Sciences, Rutgers School of Dental Medicine, Newark, N.J., USA
| | | |
Collapse
|
11
|
Vigarios E, de Bataille C, Boulanger M, Fricain JC, Sibaud V. [Normal variations in lingual soft tissue]. Ann Dermatol Venereol 2015. [PMID: 26195280 DOI: 10.1016/j.annder.2015.05.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- E Vigarios
- Médecine bucco-dentaire, consultation pluridisciplinaire de pathologies de la muqueuse buccale, institut Claudius-Regaud, institut universitaire du cancer de Toulouse Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France; UFR d'odontologie, 3, rue des Maraîchers, 31062 Toulouse, France.
| | - C de Bataille
- UFR d'odontologie, 3, rue des Maraîchers, 31062 Toulouse, France; Médecine bucco-dentaire, hôpital Rangueil, CHU de Toulouse, 3, rue des Maraîchers, 31059 Toulouse cedex 9, France
| | - M Boulanger
- UFR d'odontologie, 3, rue des Maraîchers, 31062 Toulouse, France; Chirurgie orale, institut Claudius-Regaud, institut universitaire du cancer de Toulouse Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France
| | - J-C Fricain
- Chirurgie orale, consultation pluridisciplinaire de pathologies de la muqueuse buccale, hôpital Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France; UFR d'odontologie, 16-20, cours de la Marne, 33082 Bordeaux cedex, France
| | - V Sibaud
- Dermatologie, consultation pluridisciplinaire de pathologies de la muqueuse buccale, institut Claudius-Regaud, institut universitaire du cancer de Toulouse Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France
| |
Collapse
|
12
|
Crincoli V, Di Comite M, Di Bisceglie MB, Fatone L, Favia G. Temporomandibular Disorders in Psoriasis Patients with and without Psoriatic Arthritis: An Observational Study. Int J Med Sci 2015; 12:341-8. [PMID: 26019683 PMCID: PMC4445014 DOI: 10.7150/ijms.11288] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/09/2014] [Accepted: 03/24/2015] [Indexed: 11/28/2022] Open
Abstract
AIMS Psoriasis is a chronic, remitting and relapsing inflammatory disorder, involving the skin, nails, scalp and mucous membranes, that impairs patients' quality of life to varying degrees. Psoriatic arthritis is a chronic seronegative, inflammatory arthritis, usually preceded by psoriasis. Temporomandibular disorders is a generic term referred to clinical conditions involving the jaw muscles and temporomandibular joint. The aim of this study was to assess symptoms and signs of temporomandibular disorders in psoriasis patients with and without psoriatic arthritis. METHODS The study group included 112 patients (56 men, 56 women; median age 49.7±12 years) with psoriasis, 25 of them were affected by psoriatic arthritis. A group of 112 subjects without psoriasis (56 men, 56 women; median age 47.7±17 years) served as controls. Signs and symptoms of temporomandibular disorders were evaluated according to the standardized Research Diagnostic Criteria for Temporomandibular Disorders. Psoriasis patients were subgrouped according to the presence/absence of psoriatic arthritis and by gender, to assess the prevalence of traditional symptoms and signs of temporomandibular disorders. RESULTS Patients with psoriasis, and to an even greater extent those with psoriatic arthritis, were more frequently affected by symptoms and signs of temporomandibular disorders, including an internal temporomandibular joint opening derangement than healthy subjects. A statistically significant increase in symptoms of temporomandibular disorders, in opening derangement, bruxism and sounds of temporomandibular joint was found in patients with psoriatic arthritis as compared with psoriasis patients without arthritis and controls. CONCLUSIONS psoriasis seems to play a role in temporomandibular joint disorders, causing an increase in orofacial pain and an altered chewing function.
Collapse
Affiliation(s)
- Vito Crincoli
- 1. Interdisciplinary Department of Medicine, University of Bari, Italy
| | - Mariasevera Di Comite
- 2. Research Assistant and Professor, Department of Basic Medical Sciences, Neurosciences and Sensory Organs, University of Bari, Italy
| | | | - Laura Fatone
- 1. Interdisciplinary Department of Medicine, University of Bari, Italy
| | - Gianfranco Favia
- 1. Interdisciplinary Department of Medicine, University of Bari, Italy
| |
Collapse
|
13
|
Madani FM, Kuperstein AS. Normal variations of oral anatomy and common oral soft tissue lesions: evaluation and management. Med Clin North Am 2014; 98:1281-98. [PMID: 25443677 DOI: 10.1016/j.mcna.2014.08.004] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Examination of the oral cavity can provide significant diagnostic information regarding the general health of the patient. The oral cavity is affected by a multitude of pathologic conditions of variable cause and significance; however, there are numerous normal variations of oral soft tissue structures that may resemble a pathologic state. Understanding these variations assists practitioners to discriminate between normal versus abnormal findings and determine the appropriate course of management, if necessary.
Collapse
Affiliation(s)
- Farideh M Madani
- Department of Oral Medicine, University of Pennsylvania School of Dental Medicine, 240 South 40th Street, Philadelphia, PA 19104, USA
| | - Arthur S Kuperstein
- Oral Medicine Clinical Services, Department of Oral Medicine, University of Pennsylvania School of Dental Medicine, 240 South 40th Street, Philadelphia, PA 19104, USA.
| |
Collapse
|
14
|
Argyris PP, Nelson AC, Papanakou S, Merkourea S, Tosios KI, Koutlas IG. Localized juvenile spongiotic gingival hyperplasia featuring unusual p16INK4A labeling and negative human papillomavirus status by polymerase chain reaction. J Oral Pathol Med 2014; 44:37-44. [DOI: 10.1111/jop.12214] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/27/2014] [Indexed: 01/26/2023]
Affiliation(s)
- Prokopios P. Argyris
- Division of Oral and Maxillofacial Pathology; School of Dentistry; University of Minnesota; Minneapolis MN USA
| | - Andrew C. Nelson
- Department of Laboratory Medicine and Pathology; School of Medicine; University of Minnesota; Minneapolis MN USA
| | - Styliani Papanakou
- Department of Oral Pathology and Medicine; School of Dentistry; National and Kapodistrian University of Athens; Athens Greece
| | - Stavroula Merkourea
- Department of Oral Pathology and Medicine; School of Dentistry; National and Kapodistrian University of Athens; Athens Greece
| | - Konstantinos I. Tosios
- Department of Oral Pathology and Medicine; School of Dentistry; National and Kapodistrian University of Athens; Athens Greece
| | - Ioannis G. Koutlas
- Division of Oral and Maxillofacial Pathology; School of Dentistry; University of Minnesota; Minneapolis MN USA
| |
Collapse
|
15
|
Reis V, Artico G, Seo J, Bruno I, Hirota SK, Lemos C, Martins M, Migliari D. Psoriasiform mucositis on the gingival and palatal mucosae treated with retinoic-acid mouthwash. Int J Dermatol 2013; 52:113-5. [PMID: 23278619 DOI: 10.1111/j.1365-4632.2010.04739.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
|
16
|
Abstract
Even though psoriasis is a common skin disorder, reports of it involving the oral cavity are exceedingly rare, with less than 100 publications in the literature. Biopsy-proven oral psoriasis has been reported in the oral medical literature, but the commonest oral mucosal findings in most studies are associated non-specific features including fissured and geographic tongue. Case series on this entity have not provided any definitive data to support its existence. From the evidence available to date, it is still unclear if oral psoriasis is a distinct entity or if, indeed, it exists.
Collapse
|
17
|
Tomb R, Hajj H, Nehme E. [Oral lesions in psoriasis]. Ann Dermatol Venereol 2010; 137:695-702. [PMID: 21074652 DOI: 10.1016/j.annder.2010.08.006] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2009] [Accepted: 08/02/2010] [Indexed: 02/06/2023]
Abstract
BACKGROUND The literature contains little information about the incidence or prevalence of oral signs in psoriasis. The pustular forms are the most commonly incriminated, with geographic tongue being the most frequently cited oral sign. The aim of our study was to determine the various types of oral signs seen in a large population of psoriasis patients. PATIENTS AND METHODS Four hundred psoriasis patients were recruited consecutively and a detailed oral examination performed by two clinicians. Similar examinations were performed over the same period in 1000 nonpsoriasis subjects comprising a control group in order to assess the incidence of the same oral signs in the general population. RESULTS Comparing the two groups, fissured tongue was seen in 33.2% of psoriasis patients versus 9.9% of control subjects (P<0.0001). There was thus a highly significant (P<0.0001) correlation between geographic tongue and psoriasis (7.7% of psoriasis patients versus 1% of controls). In addition, a strong correlation was seen between the presence of pustular psoriasis and fissured tongue (83.3% of patients with pustular psoriasis versus only 30% of patients with other forms of psoriasis). DISCUSSION Our study shows a strong correlation between psoriasis and fissured and geographic tongue, although these features are not pathognomonic for the disease. As regards geographic tongue, our results are consistent with the data in the literature. However, the prevalence of fissured tongue was considerably higher among our patients than in series published to date. These two types of sign involving the tongue, and which can occur in all forms of psoriasis, appear to be particularly strongly associated with pustular psoriasis. Patients are generally unaware of this sign and rarely complain of it.
Collapse
Affiliation(s)
- R Tomb
- Département de dermatologie, université Saint-Joseph, Beyrouth, Liban.
| | | | | |
Collapse
|
18
|
Miloğlu Ö, Göregen M, Akgül HM, Acemoğlu H. The prevalence and risk factors associated with benign migratory glossitis lesions in 7619 Turkish dental outpatients. ACTA ACUST UNITED AC 2009; 107:e29-33. [DOI: 10.1016/j.tripleo.2008.10.015] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2008] [Revised: 10/11/2008] [Accepted: 10/18/2008] [Indexed: 11/24/2022]
|
19
|
Lo Russo L, Fedele S, Guiglia R, Ciavarella D, Lo Muzio L, Gallo P, Di Liberto C, Campisi G. Diagnostic Pathways and Clinical Significance of Desquamative Gingivitis. J Periodontol 2008; 79:4-24. [PMID: 18166088 DOI: 10.1902/jop.2008.070231] [Citation(s) in RCA: 73] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
20
|
Abstract
Part of periodontology involves the diagnosis and treatment of a variety of non-plaque-related diseases of the periodontium. The International Workshop for a Classification of Periodontal Diseases and Conditions noted that the periodontist may be called upon to manage non-plaque-related mucocutaneous disorders either alone, or as part of a treatment team consisting of physicians, dentists or other allied health care professionals. This informational paper will review the etiology, clinical manifestations, diagnosis, and treatment of the most common chronic mucocutaneous diseases, including those that may present as desquamative gingivitis or intraoral vesiculobullous lesions. This paper is intended for the use of periodontists and other members of the dental profession.
Collapse
|
21
|
Assimakopoulos D, Patrikakos G, Fotika C, Elisaf M. Benign migratory glossitis or geographic tongue: an enigmatic oral lesion. Am J Med 2002; 113:751-5. [PMID: 12517366 DOI: 10.1016/s0002-9343(02)01379-7] [Citation(s) in RCA: 106] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Benign migratory glossitis, or geographic tongue, is usually an asymptomatic inflammatory disorder of unknown etiology that affects the epithelium of the tongue. Local loss of filiform papillae leads to ulcer-like lesions that rapidly change the color and size. Histopathologic findings parallel the clinical appearance, and may have a psoriasiform pattern. The disorder is characterized by exacerbations and remissions. In most cases, patients do not require treatment other than reassurance about the benign nature of the disorder.
Collapse
|
22
|
Böckelmann R, Neugebauer P, Paseban ND, Hüttemann M, Gollnick H, Bonnekoh B. Suprabasal overexpression of the hsRPB7 gene in psoriatic epidermis as identified by a reverse transcriptase-polymerase chain reaction differential display model comparing psoriasis plaque tissue with peritonsillar mucosa. THE AMERICAN JOURNAL OF PATHOLOGY 2001; 158:367-72. [PMID: 11159173 PMCID: PMC1850293 DOI: 10.1016/s0002-9440(10)63978-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
In psoriasis an etiopathogenetic vicious circle is nowadays hypothesized that the disease is triggered by skin-specific autoantigen structures, the expression and accessibility of which are positively correlated with the intensity of the hyperproliferation and inflammation in the epidermopapillary compartment driven by autoreactive T cells. Despite the close microanatomical relation between skin and mucosa, clinicians have always been intrigued by the observation that psoriatic affection of the mucosa, if at all existing, is only seen as very rare events in the lips and tongue sparing buccopharyngeal sites. This prompted us to establish an experimental model system comparing psoriatic-involved skin and peritonsillar mucosa from tonsillectomies by a reverse transcriptase-polymerase chain reaction/differential display strategy. Among more than 60 cDNA species to be displayed in psoriasis, but missing in peritonsillar mucosa, one species was identified as coding for the RNA polymerase IIA seventh subunit (hsRPB7 gene) as a most critical factor for DNA to RNA transcription. Immunohistochemistry showed a hitherto unknown, distinctive pattern of hsRPB7 expression that was 1) tissue type-dependent with a surplus in skin keratinocytes and a near absence in peritonsillar mucosa, 2) tightly regulated by the keratinocyte differentiation process with a sharp suprabasal up-regulation in contrast to a basal down-regulation, and 3) substantially augmented in psoriatic-involved skin as compared to normal and psoriatic uninvolved skin. Keratinocytes of actinic keratoses also showed a strong hsRPB7 expression that however did not strictly spare the basal cell layer presumably reflecting the disturbed intraepidermal stratification because of the premalignant status of these precancerous lesions.
Collapse
Affiliation(s)
- R Böckelmann
- Department of Dermatology and Venereology, Otto-von-Guericke-University, Magdeburg, Germany
| | | | | | | | | | | |
Collapse
|
23
|
Brice DM, Danesh-Meyer MJ. Oral lesions in patients with psoriasis: clinical presentation and management. J Periodontol 2000; 71:1896-903. [PMID: 11156048 DOI: 10.1902/jop.2000.71.12.1896] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Psoriasis is a chronic inflammatory skin disease that rarely involves the oral cavity. In this report we describe 2 cases, initially diagnosed with cutaneous psoriasis, that present with oral lesions on the attached gingiva. The clinical appearance and differential diagnosis are presented and discussed. Case 1 describes the non-surgical management of intraoral psoriasiform lesions and the use of a free gingival graft to restore an area of gingival recession resulting from an oral lesion. The second case outlines the use of topical corticosteroid therapy as an adjunct to non-surgical periodontal therapy. Although patients with cutaneous psoriasis rarely present with oral involvement, the clinician should be aware that oral lesions may occur. Accurate diagnosis is dependent on a thorough clinical examination, a biopsy of the oral lesions, and a history of cutaneous psoriasis.
Collapse
Affiliation(s)
- D M Brice
- Department of Periodontology, Temple University, School of Dentistry, Philadelphia, PA, USA
| | | |
Collapse
|