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Oral mucous membrane pemphigoid: A clinical study of 100 low‐risk cases
Author(s) -
Bagan J,
Jiménez Y,
Murillo J,
Bagan L
Publication year - 2018
Publication title -
oral diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.953
H-Index - 87
eISSN - 1601-0825
pISSN - 1354-523X
DOI - 10.1111/odi.12744
Subject(s) - medicine , lesion , bullous pemphigoid , oral cavity , mucous membrane , dermatology , gingivitis , oral mucosa , presentation (obstetrics) , dentistry , pathology , surgery , antibody , immunology
Objective To analyze the severity of the oral lesions in low‐risk oral mucous membrane pemphigoid ( OMMP ) measured according to the size of the bullous areas and the number of simultaneously affected oral locations. Material and Methods A total of 100 cases of low‐risk OMMP were studied. The symptoms and location of OMMP in the oral cavity were analyzed. The bullous areas were measured, establishing three grades according to the greatest bullous lesion size (grade 1: < 3 cm in size; grade 2: 3–6 cm; and grade 3: > 6 cm). Results The mean age of the patients was 66.07 ± 13.55 years, with a clear predominance of females (84%). Desquamative gingivitis was the most common presentation (97%). A single oral location was found in 67% of the cases, two in 18% and three in 15%. The most common presentation corresponded to grade 1 (the greatest bullous lesion size < 3 cm; 51.6% of the cases). Conclusions Most cases of low‐risk OMMP are restricted to a single site in the oral cavity, the gingiva being the most common location—the predominant grade corresponding to the greatest bullous lesion size < 3 cm.