Journal of oral science
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Journal of oral science · Sep 2013
Case ReportsPemphigus, discoid lupus erythematosus, and dermatomyositis during an 8-year follow-up period: a case report.
A 36-year-old Thai woman presented with a painful, burning sensation in the gingiva and desquamative gingivitis. Findings from histopathologic and direct immunofluorescence examination of the maxillary gingiva confirmed a diagnosis of pemphigus. Two months later, she developed a round erythematous lesion on her face, and findings from a skin biopsy were consistent with lupus erythematosus. ⋯ There are no previous reports of pemphigus, discoid lupus erythematosus, and dermatomyositis in a Thai patient. Fluocinolone acetonide 0.1% in Orabase and systemic steroid were effective in treating oral PV in this patient. The gingiva showed complete remission after 10 months of treatment and remission with recession at 8.5 years of follow-up.