Difficulties in diagnosing pemphigus vulgaris at a dental appointment

Diagnosis of pemphigus vulgaris localized in the oral cavity is a difficult task for dentists. This is due to a varied clinical picture similar to other erosive lesions, an undulating course, complex differential diagnosis and other factors. Knowledge of the features of the clinical picture of pemphigus vulgaris with long-term non-healing erosions with an adequate course; positive Nikolsky symptom; cytological examination with detection of acantholytic cells; Carrying out immunological methods — positive direct and indirect RIF — all of this helps the dentist to suggest a diagnosis. Pemphigus vulgaris and promptly refer the patient for treatment to a dermatologist. Purpose of the review. Analysis of domestic and foreign literature based on the results of clinical and laboratory studies of pemphigus vulgaris, increasing the clinical literacy of a dentist in the diagnosis of pemphigus vulgaris.

Authors

Publication Details

Journal
Russian Journal of Stomatology
Published
2025-03-28
DOI
https://doi.org/10.17116/rosstomat2025180114
Primary Topic
Autoimmune Bullous Skin Diseases
Type
article
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article

Difficulties in diagnosing pemphigus vulgaris at a dental appointment

G.B. Markova, Нателла Крихели, O.V. Roslyakova, T.I. Pozdnyakova
Russian Journal of Stomatology
Autoimmune Bullous Skin Diseases
article

Difficulties in diagnosing pemphigus vulgaris at a dental appointment

G.B. Markova, Нателла Крихели, O.V. Roslyakova, T.I. Pozdnyakova
article en

Abstract

Diagnosis of pemphigus vulgaris localized in the oral cavity is a difficult task for dentists. This is due to a varied clinical picture similar to other erosive lesions, an undulating course, complex differential diagnosis and other factors. Knowledge of the features of the clinical picture of pemphigus vulgaris with long-term non-healing erosions with an adequate course; positive Nikolsky symptom; cytological examination with detection of acantholytic cells; Carrying out immunological methods — positive direct and indirect RIF — all of this helps the dentist to suggest a diagnosis. Pemphigus vulgaris and promptly refer the patient for treatment to a dermatologist. Purpose of the review. Analysis of domestic and foreign literature based on the results of clinical and laboratory studies of pemphigus vulgaris, increasing the clinical literacy of a dentist in the diagnosis of pemphigus vulgaris.

Russian Journal of StomatologyVol. 18(1)
Openalex Percentile: Top 92%
Autoimmune Bullous Skin Diseases
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