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CC BY-NC-ND 4.0 · European Journal of General Dentistry 2013; 2(01): 67-71
DOI: 10.4103/2278-9626.106822
Case Report

Oral psoriasis: A diagnostic dilemma

Saif Khan
Department of Periodontology and Pathology, Dr. Z. A. Dental College and Hospital, Faculty of Medicine, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
,
Sufian Zaheer
1   Department of Pathology, Dr. Z. A. Dental College and Hospital, Faculty of Medicine, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
,
N. D. Gupta
Department of Periodontology and Pathology, Dr. Z. A. Dental College and Hospital, Faculty of Medicine, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
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Abstract

Psoriasis is a chronic, genetically linked, scaly, and inflammatory disease of the skin. Oral manifestations of psoriasis are rare and are often difficult to diagnose. A 35-year-old female presented with gum bleeding, chronic irritation, intolerance to salt and spicy food, and frequent occurrence of painful mouth ulcers with a fissured tongue. Examination of the oral cavity showed desquamations on the buccal mucosa with pedunculated and exophytic growths and also slight gingival enlargements in the anterior segment. The exophytic growths along with gingival enlargement were excised and sent for histopathological examination, which revealed them to be psoriasis. Oral psoriasis is a rare entity and might be confused with other oral mucous membrane dermatoses; hence, it should be considered under differential diagnosis of oral mucous membrane disorders and confirmed histopathologically.

Keywords

Geographic tongue - oral dermatoses - oral psoriasis - scrotal tongue


Publication History

Article published online:
01 November 2021

© 2013. European Journal of General Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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  • References

  • 1 Krueger GG, Duvic M. Epidemiology of psoriasis: Clinical issues. J Invest Dermatol 1994;102:14S-18S.
  • 2 Zhu JF, Kaminski MJ, Pulitzer DR, Hu J, Thomas HF. Psoriasis: Pathophysiology and oral manifestations. Oral Dis 1996;2:135-44.
  • 3 Shafer WG, Hine MK, Levy BM. Diseases of the skin. A text book of oral pathology. Philadelphia: WB Saunders; 1983. p. 814-16.
  • 4 Griffiths CE, Barker JN. Pathogenesis and clinical features of psoriasis. Lancet 2007;370:263-5.
  • 5 Yesudian PD, Chalmers RJ, Warren RB, Griffiths CE. In search of oral psoriasis. Arch Dermatol Res 2012;304:1-5.
  • 6 Hernández-Pérez F, Jaimes-Aveldañez A, Urquizo-RuvalcabaMde L, Díaz-Barcelot M, Irigoyen-Camacho ME, Vega-Memije ME, et al. Prevalence of oral lesions in patients with psoriasis. Med Oral Patol Oral Cir Bucal 2008;13:E703-8.
  • 7 Oppenheim M. Psoriasis mucosae oris. Monatsschr Prakt Dermatol 1903;37:481.
  • 8 Usher B. Psoriasis of the mucous membranes. A report of two cases with a review of the literature. Arch Dermat Syph 1933;28:488-96.
  • 9 DeGregori G, Pippen R, Davies E. Psoriasis of the gingiva and the tongue: Report of a case. J Periodontol 1971;42:97-100.
  • 10 Elliott JR, Bowers GM, Corio RL. The clinical problem of oral psoriasis. Ear Nose Throat J 1985;64:223-7.
  • 11 Hietanen J, Salo OP, Kanerva L, Juvakoski T. Study of the oral mucosa in 200 consecutive patients with psoriasis. Scand J Dent Res 1984;92:50-4.
  • 12 Kaur I, Handa S, Kumar B. Oral lesions in psoriasis. Int J Dermatol 1997;36:78-9.
  • 13 Costa SC, Hirota SK, Takahashi MD, Andrade H Jr, Migliari DA. Oral lesions in 166 patients with cutaneous psoriasis: A controlled study. Med Oral Patol Oral Cir Bucal 2009;14:e371-5.
  • 14 Daneshpazhooh M, Moslehi H, Akhyani M, Etesami M. Tongue lesions in psoriasis: A controlled study. BMC Dermatol 2004;4:16.
  • 15 Pogrel MA, Cram D. Intraoral findings in patients with psoriasis with a special reference to ectopic geographic tongue (erythema circinata). Oral Surg Oral Med Oral Pathol 1988;66:184-9.
  • 16 Nisengard RJ, Neiders M. Desquamative lesions of the gingiva. J Periodontol 1981;52:500-10.
  • 17 Pisanty S, Ship II. Oral psoriasis. Oral Surg Oral Med Oral Pathol 1970;30:351-355.
  • 18 Levin H. Psoriasis of the palate. Oral Surg 1954;7:280.
  • 19 Brayshaw H, Orban B. Psoriasis gingivae. J Perindontol 1953;24:156.
  • 20 Wooten JW, Tarsitano JJ, LaVere AM. Oral psoriasiform lesions: A possible prosthodontic complication. J Prosthet Dent 1970;24:145-7.
  • 21 Tosti A, Misciali C, Cameli N, Vincenzi C. Guess what! Psoriasis of the lips. Eur J Dermatol 2001;11:589-90.
  • 22 Rahman MA, Fikree M. Perioral psoriasis. J Eur Acad Dermatol Venereol 2000;14:521-2.
  • 23 Yamamoto T, Nishioka K. Oral psoriasis in a patient with hepatitis C virus. Eur J Dermatol 2002;12:75-6.
  • 24 Gül U, Kiliç A, Gönül M, Soylu S, Bilgili S, Han O. Psoriasis of the lips: An unusual localization. Int J Dermatol 2006;45:1381-2.
  • 25 Buchner A, Begleiter A. Oral lesions in psoriatic patients. Oral Surg Oral Med Oral Pathol 1976;41:327-32.
  • 26 Brenner S, Lipitz R, Ilie B, Krakowski A. Psoriasis of the lips: The unusual Köbner phenomenon caused by protruding upper teeth. Dermatologica 1982;164:413-6.
  • 27 Halperin V, Kolas S, Jefferis KR, Huddleston SO, Robinson HB. The occurrence of Fordyce spots, benign migratory glossitis, median rhomboid glossitis, and fissured tongue in 2,478 dental patients. Oral Surg 1953;6:1072-7.
  • 28 Hume WJ. Geographic stomatitis: A critical review. J Dent 1975;3:25-43.
  • 29 Eidelman E, Chosack A, Cohen T. Scrotal tongue and geographic tongue: Polygenic and associated traits. Oral Surg 1976;42:591-6.
  • 30 McCarthy FP. A clinical and pathologic study of oral disease. J Am Med Assoc 1941;116:16-21.
  • 31 Ulmansky M, Michelle R, Azaz B. Oral psoriasis: Report of six new cases. J Oral Pathol Med 1995;24:42-5.
  • 32 Bruce AJ, Rogers RS. Oral psoriasis. Dermatol Clin 2003;21:99-104.
  • 33 Richardson LJ, Kratochvil FJ, Zieper MB. Unusual palatal presentation of oral psoriasis. J Can Dent Assoc 2000;66:80-2.
  • 34 Eastman JR, Goldblatt LI. Psoriasis. Palatal manifestations and physiologic considerations. J Periodontol 1983;54:736-9.
  • 35 Yamada J, Amar S, Petrungaro P. Psoriasis-associated periodontitis: A case report. J Periodontol 1992;63:854-7.
  • 36 Lundberg M, Ericson S. Changes in the temporomandibular joint in psoriasis arthropathica. Acta Derm Venereol 1967;47:354-8.
  • 37 Perlman S. Psoriatic arthritis: Natural history and prognosis. In: Berber L, Espinoza L, editors. Psoriatic Arthritis. New York: Grune and Stratton; 1985. p. 83-93.
  • 38 Iacopino AM, Wathen WF. Craniomandibular disorders in the geriatric patient. J Orofac Pain 1993;7:38-53.
  • 39 Van Scott EJ. Kinetics of hyperplasia in psoriasis. Arch Dermatol 1963;88:67.
  • 40 Migliari DA, Penha SS, Marques MM, Matthews RW. Considerations on the diagnosis of oral psoriasis: A case report. Med Oral 2004;9:300-3.