An oral manifestation of IBD: Pyostomatitis vegetant, about two cases

被引:2
作者
Dimmock, M. [1 ,3 ]
Mendes, L. C. [1 ,3 ,5 ]
Albluwi, S. [2 ]
Paul, C. [2 ]
Thomas, C. [1 ,4 ,5 ]
Laurencin, S. [1 ,4 ,5 ]
Cousty, S. [1 ,3 ,5 ]
机构
[1] CHU Toulouse, Hosp Odontol Serv, F-31000 Toulouse, France
[2] CHU Toulouse, Hosp Dermatol Serv, F-31000 Toulouse, France
[3] CHU Toulouse, Oral Surg Dept, F-31000 Toulouse, France
[4] CHU Toulouse, Periodontol Dept, F-31000 Toulouse, France
[5] Paul Sabatier Univ, Dent Fac, F-31000 Toulouse, France
关键词
Pyostomatitis vegetan; Inflammatory bowel disease; Ulcerative; Colitis; Crohn disease;
D O I
10.1016/j.jormas.2019.04.009
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Introduction: Pyostomatitis vegetan (PV) is often associated with chronic inflammatory bowel disease (IBD). Observation: Two cases of PV are reported. Case number 1 is a 66-year-old patient treated with infliximab for ulcerative colitis (UC). He presented himself with rapidly progressing crusty, whitish, ulcerated lesions on his lips. Diagnosis of PV was made after biopsy. Regression of oral lesions was favourable with local application of dermocorticoids while continuing infliximab treatment. Case number 2 is a 20-year-old patient treated with infliximab for Crohn's disease (CD). She had cheilitis and angular cheilitis. Diagnosis of PV was made after biopsy. The evolution was favourable after treating with topical dermocorticoids. Discussion: PV is associated in 75% of the cases with IBD. The digestive check-up is systematic. Diagnostic delay is often noted. Topical dermocorticoids are the first line of therapy. (C) 2019 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:375 / 377
页数:3
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