Ulcerative Stomatitis : Definition , Causes, C/F, D/D , Treatment
Definition Chronic ulcerative stomatitis is a rare oral disease with characteristic immunofluorescent pattern.
Etiology Autoimmune disease with specific antinuclear antibodies directed against the stratified epithelium.
- The disease involves, almost exclusively, the oral mucosa and has a chronic course with recurrences.
- The main target of the disease is the gingiva, where the lesions appear in the form of desquamative gingivitis or as localized painful erythema and ulcerations .
- Painful superficial ulcerations, usually associated with reticular white lesions identical to those seen in oral lichen planus, and discoid lupus erythematosus may also occur on the buccal mucosa and the tongue .
- The clinical diagnosis should be confirmed by laboratory examination.
Laboratory tests Histopathological examination, direct and indirect immunofluorescent tests.
- Lichen planus,
- discoid lupus erythematosus,
- cicatricial pemphigoid,
- linear IgA disease,
- epidermolysis bullosa acquisita,
- idiopathic form of desquamative gingivitis.
Treatment Local or systemic corticosteroids, hydroxychloroquine.