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

Abstract

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.

Keywords

herpetiform Dühring dermatitis / defeat of the oral mucosa / test of Yadasson / gluten-free diet

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