J Korean Acad Periodontol.  2000 Sep;30(3):631-638. 10.5051/jkape.2000.30.3.631.

Chronic Desquamative Gingivitis

Affiliations
  • 1Department of Oral Pathology, College of Dentistry, Yonsei University, Korea.
  • 2Department of Periodontology, College of Dentistry, Yonsei University, Korea.

Abstract

Desquamative gingivitis is characterized by a diffuse erythema of the free and attached gingiva associated with areas of vesiculation, erosion, and desquamation. Desquamative gingivitis is not a distinct disease entity but represents a reaction pattern of the gingiva to various stimuli. Pemphigus vulgaris, cicatricial pemphigoid, and lichen planus may presents as desquamative gingivitis. We observed 3 patients whose disease was limited to the gingiva, and studied them by light and direct immunofluorescence microscope. We classified them according to clinical, histologic, and immunopathologic observations. Identification of the underlying causes of desquamative gingivitis is of utmost importance and is dependent upon clinical, histologic, and immunologic criteria.

Keyword

Desquamative gingivitis; differential diagnosis; histology; immunofluorescence

MeSH Terms

Diagnosis, Differential
Erythema
Fluorescent Antibody Technique
Fluorescent Antibody Technique, Direct
Gingiva
Gingivitis*
Humans
Lichen Planus
Pemphigoid, Benign Mucous Membrane
Pemphigus
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