Morphea Involving the Lips and Gingiva: A Rare Case Report.
| Autor: | Albagieh H; Oral Medicine and Diagnostic Sciences, King Saud University, Riyadh, SAU., Alshagroud RS; Oral Medicine and Diagnostic Sciences, King Saud University, Riyadh, SAU., Aladnan AM; Dermatology, Albaha Hosptal, Albaha, SAU., Aldosari B; Oral Medicine and Diagnostic Sciences, King Saud University, Riyadh, SAU., Alburaykan YB; College of Dentistry, King Saud University, Riyadh, SAU., Almashham LY; College of Dentistry, King Saud University, Riyadh, SAU., Alqasem AA; College of Dentistry, King Saud University, Riyadh, SAU., Alyahya AA; College of Dentistry, King Saud University, Riyadh, SAU., Aboheimed NI; College of Dentistry, King Saud University, Riyadh, SAU. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Dec 27; Vol. 15 (12), pp. e51202. Date of Electronic Publication: 2023 Dec 27 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.51202 |
| Abstrakt: | Morphea is a subtype of scleroderma that does not involve Raynaud's phenomenon or internal organ involvement. It is a connective tissue disease that features the excessive deposition of collagen in the dermis and subcutaneous tissue, leading to a thickening of the dermis and subcutaneous tissue, eventually forming a scar-like lesion. We represent a 19-year-old male Saudi patient displaying a white patch on the marginal gingiva of tooth #21 and multiple yellowish papules on the outer surface of the lip. Both teeth #21 and #22 have experienced recession and bone loss. The patient's clinical history and histopathology revealed characteristic features of localized scleroderma. A treatment was proposed involving immunosuppressants, methotrexate, and pimecrolimus cream along with topical corticosteroids and excimer laser therapy (308 nm). The patient followed the treatment plan for a full month and the white patch quickly improved for the patient. Afterward, the patient has been taking only methotrexate with a significant but gradual improvement. In this paper, we discuss the differential diagnosis to be considered and present an unusual occurrence of localized scleroderma in the oral cavity. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Albagieh et al.) |
| Databáze: | MEDLINE |
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