The need for a multidisciplinary approach to the diagnosis and treatment procedures of isolated lesions of the oral mucosa in herpetiform Dühring dermatitis

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详细

The defeat of the oral mucosa in herpetiform Dühring dermatitis is a rare pathology. According to the literature, it is detected in 9.6% — 10% of cases. Granular deposits of immunoglobulin A in the papillae of the dermis in herpetiform Dühring dermatitis are associated with gluten enteropathy, lead to the development of inflammatory processes on the skin and oral mucosa and the appearance of polymorphic itchy rashes and chronic recurrent course of the disease. The article describes a clinical case of a patient diagnosed with herpetiform dermatitis, manifestations in the oral cavity (ICD-10 — L13.0X code). The need for a multidisciplinary approach to the diagnosis, differential diagnosis, treatment and dynamic observation of isolated lesions of the oral mucosa in herpetiform Dühring dermatitis is indicated. A scheme of measures required by a dentist is developed.

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作者简介

Guzel Ruvinskaya

Kazan (Volga region) Federal University of the Ministry of education and science of the Russian Federation, Institute of Fundamental Medicine and Biology

编辑信件的主要联系方式.
Email: guzelruv@mail.ru
俄罗斯联邦, Kazan

E. Silantieva

Kazan State Medical Academy — branch of the Russian Medical Academy of Continuing Professional Education of the Ministry of health of Russia

Email: guzelruv@mail.ru
俄罗斯联邦, Kazan

A. Anokhina

Kazan State Medical Academy — branch of the Russian Medical Academy of Continuing Professional Education of the Ministry of health of Russia

Email: guzelruv@mail.ru
俄罗斯联邦, Kazan

参考

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  2. Bonciani D., Verdelli A., Bonciolini V. et al. Dermatitis herpetiformis: from the genetics to the development of skin lesions. Clin. Dev. Immunol. 2012; 2012: 239691.
  3. Collin P., Salmi T.T., Hervonen K., Kaukinen K., Reunala T. Dermatitis herpetiformis: a cutaneous manifestation of coeliac disease. Ann. Med. 2017; 49(1): 23–31.
  4. Rashid M., Zarkadas M., Anca A., Limeback H. Oral manifestations of celiac disease: a clinical guide for dentists. J. Can. Dent. Assoc. 2011; 77: 39.
  5. Reunala T., Salmi T.T., Hervonen K., Kaukinen K., Collin P. Dermatitis Herpetiformis: A Common Extraintestinal Manifestation of Coeliac Disease. Nutrients. 2018; 10(5). doi: 10.3390/nu10050602.
  6. Patinen P. Oral Findings in Dermatitis Herpetiformis and Coeliac Di-sease. Helsinki; 2004.

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