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Case Reports
. 2016 Sep-Oct;20(5):565-568.
doi: 10.4103/0972-124X.201627.

Desquamative gingivitis mimicking mild gingivitis

Shravanthi Raghav Yajamanya  1 , Praveen Jayaram  1 , Anirban Chatterjee  1
Affiliations
Case Reports

Desquamative gingivitis mimicking mild gingivitis

Shravanthi Raghav Yajamanya et al. J Indian Soc Periodontol. 2016 Sep-Oct.

Abstract

The aim of this report is to diagnose the cause for episodic, shifting type of mild inflammation in the isolated areas of gingiva noted by the patient for 1 year. A 33-year-old female patient presented with a chief complaint of mild pain and occasional burning sensation confined to the gingiva to the Department of Periodontology and Oral Implantology. Clinical presentation of the gingiva was seen to mimic mild form of gingivitis for 1 year, with no noted systemic involvement gingival biopsy was performed. The presence of Tzanck cell was noted along with intraepithelial split pointing toward pemphigus. Thus, the study concludes that thorough and meticulous gingival examination can reveal the picture of underlying systemic alterations and is the key for early diagnosis and prompt treatment.

Keywords: Desquamative gingivitis; Tzanck cell; gingivitis; intraepithelial split; pemphigus.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Preoperative front view
Figure 2
Figure 2
Preoperative (lateral view right side)
Figure 3
Figure 3
Preoperative (lateral view left side)
Figure 4
Figure 4
Areas showing desquamative gingival lesions in relation to teeth numbers 45 and 46
Figure 5
Figure 5
Incision placed
Figure 6
Figure 6
Clinical view of tooth number 45, the site of gingival tissue excision
Figure 7
Figure 7
Excised gingival tissue
Figure 8
Figure 8
Periodontal dressing given
Figure 9
Figure 9
Histologic section
Figure 10
Figure 10
One-week postoperative healing of gingiva in relation to tooth number 45
Figure 11
Figure 11
Two months follow-up (front view)
Figure 12
Figure 12
Two months follow-up (lateral view right side)
Figure 13
Figure 13
Two months follow-up (lateral view left side)
Figure 14
Figure 14
Area showing desquamative gingival lesion in relation to tooth number 15
See this image and copyright information in PMC

References

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