Regret for the inconvenience: we are taking measures to prevent fraudulent form submissions by extractors and page crawlers. Received: June 18, Published: October 30, Citation: Fabiana MC. Desquamative gingivitis as a clinical sign of oral lichen planus: review of literature. DOI:
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Introduction: Skin diseases affect a large percentage of people and can result in a markedly decreased quality of life. Most of the remaining visits for skin complaints occur with primary care physicians including Family Physicians, Internists, and Pediatricians.
Primary care physicians, however, have an ever-increasing knowledge base of medicine to master and receive little formal training in dermatology. Several studies have shown that non-dermatologists have difficulty diagnosing many diseases of the skin. Improving the diagnostic accuracy and dermatologic care that these physicians provide to a large number of patients will significantly impact healthcare quality and cost-effective care by reducing error.
An alternative to training more specialists is to provide visual diagnostic decision support to assist generalist clinicians during a patient encounter. Textbooks and atlases of dermatology have been used for over a century to assist physicians in dermatologic diagnosis. The photographs they contain allow physicians to diagnose skin conditions by "image matching" with the patient's skin lesion.
However, textbooks and atlases are indexed primarily by disease name, have limited space, and do not readily support the process of creating a differential diagnosis. In contrast, Web-based visual diagnostic decision support systems can offer the advantages of multi-axial indexing and searching, as well as the added strength of using images in combination with a specialist-developed knowledge base. Such resources allow clinicians to enter patient specific findings and receive patient-contextualized information and diagnostic assistance.
Objectives: At the end of this course participants will be able to: Use visual clinical decision support to support the differential diagnosis process. Use decision support for improving management and therapy of skin presenting diseases. Use visual decision support to aid patient education to improve patient outcomes. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Med-IQ is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Medium and Method of Participation: For successful completion of this Internet Point-of-Care Activity, providers will use the visual diagnostic decision support system to search diagnoses, drug eruptions, or build a differential and specify the type of clinical inquiry and how the activity affected their knowledge or care for a maximum of. The system can be accessed by going to www. Providers will need to sign in with their personal username and password.
Faculty Disclosure Statement: The course advisor, authors and planning committee have no relevant financial relationships to disclose. Estimated Completion Time: The estimated time to complete this activity is one half hour.
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We have sent an e-mail with this patient information. Basura MD, Ph. Crissey MD Harold E. Egge MD Charles N. Fox MD Brian D. Hawkes MD Peter W. Heald MD David G. Janjua MD Joshua J. Jarvis MD Beverly A. Katzman MD A. Rabinovitz MD Christopher J. Schosser MD Glynis A. Song MD Mary J. Storrs MD Erik J. Stratman MD Lindsay C. Wei MD Clayton E.
Journal of Trop. Desquamative gingivitis - Oral Mucosal Lesion. Print 6 Images. View all Images 6 with subscription.
Chronic desquamative gingivitis is a clinical description of the gingiva which is often a presenting manifestation of dermatoses or mucocutaneous disorders. The patients often experience oral discomfort and pain, which can significantly compromise their life qualities. Here we present a case of chronic desquamative gingivitis in a year-old woman with periodontitis. After establishment of oral hygiene, initial periodontal therapy including topical steroid application was performed. Subsequent periodontal surgery resulted in further reduction of local inflammation. These interventions lead to a significant improvement in gingival lesions as well as oral health-related quality of life. Chronic desquamative gingivitis is often a presenting manifestation of dermatoses or mucocutaneous disorders.
Dental Health, Oral Disorders & Therapy
Desquamative gingivitis DG is characterized by the erythematous gingiva, desquamation and erosion of the gingival epithelium, and blister formation. It is a common clinical manifestation in several diseases. Contact allergic reactions to various oral hygiene products and chemical agents have also been reported to represent as DG. The management of DG has been a major problem, largely because the etiology of the disease has been elusive.
Gingival desquamation is a clinical sign in which the gingiva appears reddish, friable with desquamation of epithelium. It may be the result of various disease process such as, mucous membrane pemphigoid MMP , oral lichen planus, and pemphigus vulgaris which accounts for a major cause of desquamation. MMP is a rare chronic autoimmune disorder characterized by subepithelial bullae clinically and suprabasilar split histologically most commonly affecting the oral cavity manifesting as a desquamative gingivitis. Here is a case of pemphigoid appearing as a desquamative gingivitis.