Abstract
Pystomatitis vegetans is a rare oral condition characterized by the presence of numerous pustules in the oral cavity and is usually associated with inflammatory bowel diseases (IBD). A 19-year-old black male patient attended the stomatology service complaining of pruritus and pain in the oral cavity for 6 months. Physical examination revealed pustular lesions with erythematous halo and a friable membrane (“snail tracks”) located on the tongue, floor of the mouth, gingiva, labial mucosa, buccal mucosa, and hard and soft palates. He denied gastrointestinal symptoms. Scrapes of oral mucosa for cytopathologic analysis revealed intense inflammation and absence of Candida spp. An incisional biopsy of the lower lip was performed for histopathologic analysis, confirming the diagnosis. Therapy with oral prednisone 5 mg/d was instituted, with partial resolution, and the increase to 40 mg/d resulted in complete remission. Currently, he is being followed up by the stomatology service, since he has periods of relapse, and by gastroenterology, to detect possible IBD.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call