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Case Reports
. 2016 Dec;10(12):ZD12-ZD13.
doi: 10.7860/JCDR/2016/22573.9032. Epub 2016 Dec 1.

Pyostomatitis Vegetans: A Clue for Diagnosis of Silent Crohn's Disease

Saede Atarbashi-Moghadam  1 , Ali Lotfi  2 , Fazele Atarbashi-Moghadam  3
Affiliations
Case Reports

Pyostomatitis Vegetans: A Clue for Diagnosis of Silent Crohn's Disease

Saede Atarbashi-Moghadam et al. J Clin Diagn Res. 2016 Dec.

Abstract

Pyostomatitis vegetans is a very rare oral manifestation with unknown pathogenesis. Skin and other mucous membrane involvement may be seen. This lesion has strong association with Inflammatory Bowel Disease (IBD) and may be the first sign of it. The management of Pyostomatitis vegetans is usually based on the management of underlying bowel disease. We present a case of Pyostomatitis vegetans involving gingiva and oral mucosa with no skin lesion which led to the diagnosis of Crohn's disease to emphasize important role of dentists in diagnosis of rare oral lesions and management of patients' systemic disease.

Keywords: Exophytic pustules; Gingiva; Inflammatory bowel disease; Oral manifestation; Ulcers.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
Multiple exophytic pustules on the erythematous base that covered the gingiva and oral mucosa resembling “snail tracks”.
[Table/Fig-2]:
[Table/Fig-2]:
Microscopic section revealed an intraepithelial clefting and inflammatory cells accumulation (eosinophilic microabscesses) ×100.
[Table/Fig-3]:
[Table/Fig-3]:
The oral lesions recurred as a result of drug discontinuation.
See this image and copyright information in PMC

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