Open AccessGingival pemphigus vulgaris preceding cutaneous lesion: A rare case report
Author(s) -
Saroj Kumar Rath,
M. Major Reenesh
Publication year - 2012
Publication title -
journal of indian society of periodontology (print)/journal of indian society of periodontology (online)
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.309
H-Index - 28
eISSN - 0975-1580
pISSN - 0972-124X
DOI - 10.4103/0972-124x.106922
Subject(s) - pemphigus vulgaris , medicine , desmoglein 3 , pemphigus , dermatology , triamcinolone acetonide , lesion , oral mucosa , prednisolone , direct fluorescent antibody , pathology , antibody , autoimmune disease , immunology , gastroenterology
Pemphigus is a group of autoimmune diseases characterized by formation of intraepithelial bullae in skin and the mucous membrane. Pemphigus vulgaris affects the oral mucosa in nearly all cases. Pemphigus vulgaris is characterized by auto antibodies directed against desmosome-associated protein antigens (desmoglein-3) found in epithelial and epidermal intercellular substance. We report here a case of pemphigus vulgaris of gingiva in an adult female patient at an early stage followed by dermatologic involvement. Perilesional incision was taken and histopathological and direct immunofluorescence was done for identification of specific antibodies. The oral lesions were treated with 0.1% Triamcinolone acetonide ointment and Prednisolone 20 mg twice daily with multivitamins was administered systemically for skin lesion.