Journal of the Japan Organization of Clinical Dermatologists
Online ISSN : 1882-272X
Print ISSN : 1349-7758
ISSN-L : 1349-7758
Review
Importance of cooperation between dermatologists and dentists in the treatment of autoimmune bullous diseases
Yoshinori JinbuKonomi OotsukaAmi SugimuraNobue WakabayashiToshio Demitsu
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2018 Volume 35 Issue 4 Pages 622-627

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Abstract

Autoimmune bullous diseases often manifest as symptoms in the oral cavity. Particularly in pemphigus vulgaris, erosion can occur widely in the oral cavity, and oral hygiene can become extremely poor due to contact pain and bleeding. In addition, severe periodontal disease, dental caries, and incompatible dentures may lead to the onset of acute inflammation, erosion, and irritation ulcer during treatment. With the onset of steroid therapy, preventing the occurrence of oral candidiasis, toothache- like hypersensitivity, and bisphosphonate-related bone necrosis of the jaw is important, and professional oral management is essential for maintaining patient quality of life (QOL). A 70-year-old man who complained of erosion of the oral mucosa was admitted to our hospital. Based on a diagnosis of pemphigus vulgaris, steroid treatment was scheduled, but severe periodontal disease was confirmed. After instruction in oral cleaning was given, 5 teeth were extracted. We continued oral care even during treatment and improved masticatory function by providing dentures at an early stage after improving erosions. In the treatment of autoimmune bullous disease, good cooperation between dermatologists and dentists is necessary to provide higher-quality treatment with consideration for patient QOL. Dermatologists should make use of special technical support and oral care systems in dentistry.

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© 2018 Japan Organization of Clinical Dermatologists
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