Korean J Otolaryngol-Head Neck Surg.  2003 Nov;46(11):990-992.

A Case of Pyostomatitis Vegetans which Comes with Ulcerative Colitis

• Song SH
• Choi YJ
• Park JS
• Lee SS

Abstract

Pyostomatitis vegetans is a rare oral condition characterized by miliary pustules that primarily affect the labial gingiva as well as the buccal and labial mucosa. It is consistently associated with inflammatory bowel disease (IBD) and is a highly specific marker for IBD. Authors are reporting a 45 year-old female patient who developed pyostomatitis vegetans after she was diagnosed as having ulcerative colitis. Our experience indicates that there is an intimate relationship between pyostomatitis vegetans and inflammatory bowel disease (IBD). In a pyostomatitis vegetans patient whose IBD is in dormant state, the diagnosis of IBD can be missed. It is imperative, therefore, to suspect IBD in a patient with pyostomatitis vegetans who has no gastrointestinal symptoms and recommend thorough investigational study of the gatrointestinal system.

Keyword

Oral ulcer; Inflammatory bowel disease; Pustule

MeSH Terms

Colitis, Ulcerative*
Diagnosis
Female
Gingiva
Humans
Inflammatory Bowel Diseases
Middle Aged
Mucous Membrane
Oral Ulcer
Ulcer*