Oral lesions in patients with psoriasis: clinical presentation and management.
Psoriasis is a chronic inflammatory skin disease that rarely involves the oral cavity. In this report we describe 2 cases, initially diagnosed with cutaneous psoriasis, that present with oral lesions on the attached gingiva. The clinical appearance and differential diagnosis are presented and discussed. Case 1 describes the non-surgical management of intraoral psoriasiform lesions and the use of a free gingival graft to restore an area of gingival recession resulting from an oral lesion. The second case outlines the use of topical corticosteroid therapy as an adjunct to non-surgical periodontal therapy. Although patients with cutaneous psoriasis rarely present with oral involvement, the clinician should be aware that oral lesions may occur. Accurate diagnosis is dependent on a thorough clinical examination, a biopsy of the oral lesions, and a history of cutaneous psoriasis.
Brice
D M
DM
Department of Periodontology, Temple University, School of Dentistry, Philadelphia, PA, USA.
Danesh-Meyer
M J
MJ
D000287:Administration, Topical; D000368:Aged; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001623:Betamethasone / Q000627:therapeutic use; D001706:Biopsy; D002054:Burning Mouth Syndrome / Q000175:diagnosis; D002180:Candidiasis, Oral / Q000175:diagnosis; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D005881:Gingiva / Q000637:transplantation; D005882:Gingival Diseases / Q000175:diagnosis* / Q000188:drug therapy; D005889:Gingival Recession / Q000175:diagnosis / Q000601:surgery; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D017676:Lichen Planus, Oral / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D011565:Psoriasis / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D014063:Tongue, Fissured / Q000175:diagnosis
D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids; D001623:Betamethasone