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Pyodermatitis-pyostomatitis vegetans: a case report and systematic review focusing on oral involvement
Malmö University, Faculty of Odontology (OD). Malmö University, Biofilms Research Center for Biointerfaces.ORCID iD: 0000-0002-3460-3374
Fac Ciencias Med Minas Gerais, Belo Horizonte, Brazil..ORCID iD: 0000-0001-6182-9232
Univ Fed Para, Joao Barros Barreto Univ Hosp, Dept Oral Pathol, Belem, Brazil..
Univ Fed Minas Gerais, Sch Dent, Dept Oral Surg & Pathol, Belo Horizonte, Brazil..ORCID iD: 0000-0002-6657-4547
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2024 (English)In: Oral and Maxillofacial Surgery, ISSN 1865-1550, E-ISSN 1865-1569Article in journal (Refereed) Epub ahead of print
Abstract [en]

BackgroundPyodermatitis-pyostomatitis vegetans (PPV) is a rare mucocutaneous disease characterized by multiple pustules and it is considered a marker for inflammatory bowel disease (IBD). The oral manifestations of this condition are referred to as pyostomatitis vegetans (PSV).PurposeTo investigate which features could help in establishing the diagnosis of PSV, with or without cutaneous lesions, based on information retrieved from all cases of PSV described in the literature. A case of PV from the authors was also included in the analysis.MethodsAn electronic search was undertaken, last updated in August 2022. Inclusion criteria included publications reporting cases of PSV, with the diagnosis confirmed by the pathological examination of oral or skin lesions, and presence of IBD.Results/ConclusionsSixty-two publications with 77 cases of PSV and an associated IBD were included. Features that are helpful in establishing the diagnosis of PSV are snail track appearance of oral lesions, an associated IBD (which is not always symptomatic), evidence of intraepithelial clefting on microscopic examination of oral lesions, and peripheral blood eosinophilia. A gold standard for the management of PSV does not exist and high-level evidence is limited. There is no established therapeutic protocol for PSV and management primarily consists of topical and/or systemic corticosteroids, antirheumatic drugs (sulfasalazine, mesalazine), monoclonal antibody (infliximab, adalimumab) immunosuppressives (azathioprine, methotrexate), antibiotics (dapsone), or a combination of these. The risk of recurrence of oral lesions is considerable when the medication dose is decreased or fully interrupted.

Place, publisher, year, edition, pages
Springer Berlin/Heidelberg, 2024.
Keywords [en]
Pyodermatitis-pyostomatitis vegetans, Pyostomatitis vegetans, Inflammatory bowel disease, Systematic review
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-66540DOI: 10.1007/s10006-024-01234-1ISI: 001180225100001PubMedID: 38467949Scopus ID: 2-s2.0-85187466139OAI: oai:DiVA.org:mau-66540DiVA, id: diva2:1847580
Available from: 2024-03-28 Created: 2024-03-28 Last updated: 2024-03-28Bibliographically approved

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Chrcanovic, Bruno Ramos

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Chrcanovic, Bruno RamosMartins-Chaves, Roberta RayraFonseca, Felipe PaivaGomez, Ricardo Santiago
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Oral and Maxillofacial Surgery
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