Monday, 10 July 2017

Recurrent Oral Ulceration Unexpectedly Diagnosed as Pemphigus

Ulceration is a breakdown or discontinuity of the epithelium. The common causes of oral ulcerations are trauma from a malpositioned tooth, a sharp tooth cusp, broken restorations,partial denture clasp arms, and orthodontic brackets.

Pemphigus
Lesions produced in this fashion are called traumatic ulcerations. Various autoimmune diseases such as pemphigus, lupus erythematosus, and mucous membrane pemphigoid also manifest as oral ulcerations, including erythema, erosions, and persistent ulcers. On close oral examination, these ulcerations are observed to have irregular margins. RAU is considered as the most common oral mucosal lesion of unknown etiology. These lesions present as recurrent, multiple, small, or ovoid ulcers with yellow floors and are surrounded by erythematous halo, and commonly appear first in childhood or adolescence. Minor types of RAU present as round or oval lesions with a diameter less than 1 cm and heal within 2 weeks. When recurrent aphthous-like lesion occurs in the middle-aged patient for many years, it is definitely uncommon. Read more>>>>>>

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