ОСНОВНЫЕ И ДОПОЛНИТЕЛЬНЫЕ ПРИЗНАКИ В ОСНОВЕ ДИАГНОСТИКИ ДЕСКВАМАТИВНОГО ГИНГИВИТА ПРИ КРАСНОМ ПЛОСКОМ ЛИШАЕ СЛИЗИСТОЙ ОБОЛОЧКИ РТА

Abstract

The most characteristic manifestations of desquamative gingivitis are bright hyperemia, the appearance of blisters of various sizes on the free and attached gum and erosion. This type of lesion can occur in diseases such as lichen planus, pemphigus, systemic lupus erythematosus. Despite the manifesting clinical picture, difficulties arise at the clinical reception in diagnosing both the symptom itself and the underlying disease. All this increases the interest in studying the main and additional clinical signs of specific gum lesions in lichen planus of the oral mucosa. In this paper, the manifestations of the signs of desquamative gingivitis observed by us in various forms of lichen planus are presented in detail, the main and additional signs of specific gingival lesions are highlighted, which make it possible to increase the effectiveness of the primary diagnosis of specific gingival lesions in patients with diseases of the oral mucosa.
 Subject of the study. To systematize the main and additional signs of forms of desquamative gingivitis with lichen planus of the oral mucosa.
 Purpose of the study. Identify and describe the main and additional clinical signs of forms of desquamative gingivitis in the red lichen planus of the oral mucosa.
 Methodology. The analysis of complaints, anamnesis, results of clinical and laboratory examination methods was carried out, photographs of clinical manifestations on the mucous membrane and the red border of the lips of the main and additional signs of a specific lesion of the gum were studied in detail.
 Results. The conducted clinical study made it possible to identify and describe in detail the main (bright hyperemia with sharp borders, uneven nature of the lesion, the spread of the process to the gum in the area of missing teeth, etc.) and additional clinical manifestations (papules, blisters, hemorrhages, dryness, epithelial atrophy) of desquamative gingivitis in all forms of red lichen planus of the oral mucosa.
 Conclusions. Knowledge of the identified signs will increase the effectiveness of the primary diagnosis of specific gum lesions.