Comprehensive interdisciplinary principle of diagnostics and treatment of oral mucosa lesions in psoriasis

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

BACKGROUND: Psoriasis on the oral mucosa is not often diagnosed by practicing dentists, as it occurs in 2–3% of patients. Various factors are of primary importance in the occurrence and development of this pathology.

AIM: This study aimed to present a clinical case of psoriasis lesions in the oral mucosa to determine a set of interdisciplinary diagnostic and therapeutic measures for combined lesions of the skin and oral mucosa in patients with psoriasis.

MATERIAL AND METHODS: Changes in the mucous membrane of the tongue in a patient with psoriasis vulgaris is described. The manifestations in the oral cavity were identified as ICD-10-L40.0X.

RESULTS: A combination of diagnostic and therapeutic measures is presented with simultaneous manifestations of the disease on the skin and in the oral cavity.

CONCLUSION: The presented clinical example demonstrates the need for a comprehensive interdisciplinary examination and consultation with doctors of different specialties. For differential diagnosis and determination of the disease course, prognosis, and main research methods, it is necessary to perform histological examination of the biopsy of the pathological site of the oral mucosa, and if necessary the skin, and autofluorescence stomatoscopy of the oral mucosa and tongue. The described diagnostic and therapeutic measures will contribute not only to stopping the disease recurrence but also to reducing the level of stress, carcinophobia, and thereby improve the quality of life of the patients.

Full Text

Restricted Access

About the authors

Elena N. Silantieva

Russian Medical Academy of Continuing Professional Education

Email: elenasilantjeva@mail.ru
ORCID iD: 0000-0002-2701-6374

MD, Cand. Sci. (Med.), associate professor

Russian Federation, Kazan

Elena I. Yunusova

Russian Medical Academy of Continuing Professional Education

Email: elenaiu@mail.ru
ORCID iD: 0000-0002-4550-9578

MD, Cand. Sci. (Med.), associate professor

Russian Federation, Kazan

Guzel R. Ruvinskaya

Kazan (Volga region) Federal University, Institute of Fundamental Medicine and Biology

Author for correspondence.
Email: guzelruv@mail.ru
ORCID iD: 0000-0003-4995-8757

MD, Cand. Sci. (Med.), associate professor

Russian Federation, 74, Karl Marx str., Kazan, 420012

References

  1. Zykova OS. Psoriatic lesions of the oral mucosa and red border. Dermatovenereology. Cosmetology. 2015;(4):59–65. (In Russ).
  2. Trofimova IB, Glebova LI, Terekhov GA. Research of the efficacy of complex treatment of the oral lichen planus, glossalgia andwidespread psoriasis. Stomatology for All. 2015;(4):18–19. (In Russ).
  3. Rossiiskoe obshchestvo dermatovenerologov i kosmetologov. Federal’nye klinicheskie rekomendatsii po vedeniyu bol’nykh psoriazom. Moscow; 2016. (In Russ).
  4. Fleisher GM. Klinicheskii sluchai psoriaza yazyka. Aktual’nye problemy gumanitarnykh i estestvennykh nauk. 2016;(1–4):97–101. (In Russ).
  5. Pietrzak D, Pietrzak A, Krasowska D, et al. Digestive system in psoriasis: an update. Arch Dermatol Res. 2017;309(9):679–693. doi: 10.1007/s00403-017-1775-7

Supplementary files

Supplementary Files
Action
1. Fig. 1. Lesions of the mucous membrane of the tongue of the patient M., before treatment.

Download (167KB)
2. Fig. 2. Lesion of the skin of the shins of patient M., before treatment.

Download (273KB)
3. Fig. 3. Lesion of the skin of the thighs of patient M., before treatment.

Download (121KB)
4. Fig. 4. Lesion of the skin of the thighs of patient M., before treatment (close-up).

Download (112KB)
5. Fig. 5. Lesions of the mucous membrane of the tongue in patient M. after 21 days from the start treatment.

Download (189KB)

Copyright (c) 2022 Eco-Vector



Свидетельство о регистрации СМИ № 015648 от 14.05.1999 г. выдано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор). 
Свидетельство о регистрации СМИЭЛ № ФС 77 - 80635 от 15.03.2021 г. выдано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies