Pyostomatitis vegetans Zahlreiche blassgelbe Punkte auf entzündlich rotem Grund

Swiss Dent J. 2017;127(6):523-537.
[Article in German, French]

Abstract

Pyostomatitis vegetans is a disease of the gingiva and the oral mucosa with noticeable, uncommon morphology. Clinical characteristics of this rare disease and considerations regarding differential diagnosis are described. Pyostomatitis vegetans is frequently associated with chronic inflammatory bowel diseases and can, thus, give a diagnostic hint at an existing ulcerative colitis or Crohn’s disease. A therapy plan for pyostomatitis vegetans is presented, which led to remission using local treatment only. The follow-up examination after one year showed that the treatment outcome had remained stable. An unexpected clinical appearance of the gingiva with small, pale pink thickenings after therapy and at follow-up is portrayed.

Publication types

  • Case Reports

MeSH terms

  • Abscess / drug therapy
  • Abscess / pathology
  • Administration, Topical
  • Adult
  • Betamethasone Valerate / therapeutic use
  • Colitis / diagnosis
  • Colitis / pathology
  • Diagnosis, Differential
  • Drug Therapy, Combination
  • Eosinophils / pathology
  • Gingivitis / drug therapy
  • Gingivitis / pathology*
  • Humans
  • Intestinal Mucosa / pathology
  • Male
  • Mouth Mucosa / drug effects
  • Mouth Mucosa / pathology*
  • Oral Ulcer / diagnosis
  • Oral Ulcer / drug therapy
  • Oral Ulcer / pathology
  • Plasma Cells / pathology
  • Stomatitis / diagnosis*
  • Stomatitis / drug therapy
  • Stomatitis / pathology*
  • Tacrolimus / analogs & derivatives
  • Tacrolimus / therapeutic use

Substances

  • pimecrolimus
  • Betamethasone Valerate
  • Tacrolimus