Stručni rad
Nickel - Induced Oral Pemphigus Vulgaris -Like Lesions
Kobkan Thongprasom
orcid.org/0000-0001-7627-919X
; Zavod za oralnu medicinu, Stomatološki fakultet Sveučilišta Chulalongkorn, Bangkok 10330, Thailand
Chontavat Suvanpiyasiri
; Klinika za dermatologiju Samitivej Hospital Bangkok,Thailand
Adirek S. Wongsa
; Tajlandsko stomatološko udruženje, Bangkok 10310, Thailand
Anak Iamaroon
; Zavod za oralnu biologiju i dijagnostičke znanosti, Stomatološki fakultet Sveučilišta Chiang Mai, Thailand
Wiwat Korkij
; Udruženje dermatologa, Medicinski fakultet, Bangkok 10330, Thailand
Boonrat Lohwongwatana
; Zavod za rudarstvo Fakulteta za strojarstvo Chulalongkorn University, Bangkok 10330, Thailand
Sariya Sinpitaksakul
; Zavod za oralnu medicinu Stomatološkog fakulteta Sveučilišta u Rangsit-u, Prathumthani 12000, Thailand
Patamaporn Nakpipat
; Zavod za oralnu medicinu, Stomatološki fakultet Sveučilišta Chulalongkorn, Bangkok 10330, Thailand
Sažetak
So far, only a single case of nickel-induced pemphigus has been reported in the literature. We present a case of a 49-year-old male who had experienced a desquamative gingivitis on the anterior mandibular region which was in contact with porcelain crowns and bridges and severe ulcerations on the right and left buccal mucosa. The lesions did not respond to any medications for a year. After removal of those crowns and bridges with the treatment of potent topical steroids, the lesions responded dramatically. The dental alloy used as the core of crowns and bridges was further investigated using metallurgy techniques. The results showed that the dental alloy mainly contained nickel. Histopathologic and direct immunofluorescence evaluations confirmed a diagnosis of pemphigus vulgaris. We concluded that the patient had experienced nickel-induced pemphigus vulgaris-like lesions on the oral mucosa.
Ključne riječi
Mouth Mucosa; Pemphigus vulgaris; Dental Alloys; Nickel
Hrčak ID:
71733
URI
Datum izdavanja:
23.9.2011.
Posjeta: 1.962 *