Desquamative gingivitis: retrospective analysis of 33 cases.

Citation
L. Vaillant et al., Desquamative gingivitis: retrospective analysis of 33 cases., ANN DER VEN, 127(4), 2000, pp. 381-387
Citations number
40
Categorie Soggetti
Dermatology
Journal title
ANNALES DE DERMATOLOGIE ET DE VENEREOLOGIE
ISSN journal
01519638 → ACNP
Volume
127
Issue
4
Year of publication
2000
Pages
381 - 387
Database
ISI
SICI code
0151-9638(200004)127:4<381:DGRAO3>2.0.ZU;2-B
Abstract
Objective, Desquamative gingivitis is a chronic diffuse inflammation of the gingiva. The aim of this study was to determine the causes and the clinica l characteristics of desquamative gingivitis. Patients and methods, This was a retrospective descriptive study including 33 consecutive patients (25 women and 8 men) seen at a dermatology clinic f or erosive gingivitis. Results. Thirteen patients (39 p. 100) had cicatricial pemphigoid, 12 (36 p . 100) had lichen planus, and 5 (15 p. 100) had pemphigus. Delay to diagnos is was a mean 19 months. The pinch sign was positive in 12 of the 13 cases of cicatricial pemphigoid. Dapsone improved the buccal lesions of cicatrici al pemphigoid in all cases, Systemic corticosteroid therapy and acitretine were the most effective treatments for lichen planus and corticosteroid the rapy improved pemphigus in all cases. At the time of assessment, only 3 cas es of cicatricial pemphigoid, 2 cases of lichen planus and 1 case of pemphi gus had readied complete remission without treatment. Discussion. Cicatricial pemphigoid and lichen planus are the most frequent causes of desquamative gingivitis, accounting for three-quarters of the cas es. Positive diagnosis may be difficult and may require sophisticated techn iques to avoid delay. Despite the effectiveness of symptomatic treatment, d esquamative gingivitis may have a long course.