Romanian Journal of Medical and Dental Education (Jan 2015)
PYOSTOMATITIS VEGETANS
Abstract
Pyostomatitis vegetans is a rare oral disorder with not clear pathogeny, which can be associated with inflammatory gastro-intestinal diseases, cutaneous manifestations or other disorders at articular, hepatic or ocular level. The oral condition is manifested through amicrobian pustule and yellow ulcerations having the „snail tracts” aspect on the jugal and labial mucosa and the tongues dorsal side. The histopathologic analysis reveals epithelial acantosis and superficial ulcerations, as well as neutrophilic and eosinophilic infiltrate into the subiacent conjunctive tissue. The available therapies (systemic and topic corticosteroids) have a relative and transitory benefit. We present the case of a female teenager with oral lesions and histopathologic modifications at their level significant for pyostomatitis vegetans, 1 year old, without other cutaneous or systemic changes