Manifestaciones bucales y cutáneas del pénfigo vulgar
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Graphimedic S. A.
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El pénfi go vulgar es una enfermedad ampollar autoinmune que se
caracteriza por presentarse en mucosas y en la piel en zonas de roce o
traumatismo. Es una variedad muy poco frecuente de la enfermedad,
pero es mortal para el individuo si no se trata a tiempo. Se presenta con
mayor frecuencia en mujeres entre la cuarta y sexta década de la vida.
Se presentó a la consulta un paciente de sexo masculino de 35 años de
edad con lesiones ampollares en la boca que le difi cultaban llevar a cabo
sus actividades cotidianas; las lesiones se extendieron hacia el tórax,
por lo que acudió al hospital. El diagnóstico se estableció mediante una
biopsia, que fue enviada al Laboratorio de Anatomía Patológica de la
Facultad de Odontología de la Universidad Nacional del Nordeste, en
Argentina. Para su tratamiento se prescribieron corticosteroides tópicos
y sistémicos, iniciando con altas dosis y posteriormente se disminuyeron
en la etapa de mantenimiento. El pronóstico fue bueno y el paciente en
dos semanas fue recuperando su salud bucal.
Pemphigus vulgaris is an autoimmune blistering disease that typically affects the mucosa and areas of friction or trauma on the skin. It is a rare form of the disease but one that can prove fatal if not treated in time. It is more common in women between the fourth and sixth decades of life. We look at the case of a 35-year-old male patient presenting bullous lesions of the mouth that were affecting his ability to carry out his daily activities. The patient sought hospital medical care as the lesions had spread to the thorax. Diagnosis was made by biopsy, which was sent to the pathological anatomy laboratory of the Faculty of Dentistry of Argentina’s National University of the Northeast (UNNE). He prescribed treatment consisted of topical and systemic corticosteroids, starting with high doses and subsequently decreasing these in the maintenance stage. The prognosis was good and by two weeks the patient’s state of oral health was returning to normal.
Pemphigus vulgaris is an autoimmune blistering disease that typically affects the mucosa and areas of friction or trauma on the skin. It is a rare form of the disease but one that can prove fatal if not treated in time. It is more common in women between the fourth and sixth decades of life. We look at the case of a 35-year-old male patient presenting bullous lesions of the mouth that were affecting his ability to carry out his daily activities. The patient sought hospital medical care as the lesions had spread to the thorax. Diagnosis was made by biopsy, which was sent to the pathological anatomy laboratory of the Faculty of Dentistry of Argentina’s National University of the Northeast (UNNE). He prescribed treatment consisted of topical and systemic corticosteroids, starting with high doses and subsequently decreasing these in the maintenance stage. The prognosis was good and by two weeks the patient’s state of oral health was returning to normal.
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González, María Mercedes, et al., 2016. Manifestaciones bucales y cutáneas del pénfigo vulgar. Revista de la Asociación Dental Mexicana. Ciudad de México: Graphimedic S. A., vol. 73, no. 1, p. 28-32. ISSN 0001-0944.
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