以剥脱性龈炎为表现的皮肤疾病诊疗进展

Diagnosis and treatment of skin diseases manifesting as desquamative gingivitis

以剥脱性龈炎(DG)为表现的皮肤疾病可分为复发性DG和慢性DG相关性皮肤疾病,常见的有口腔扁平苔藓、黏膜性类天疱疮、寻常型天疱疮等。完整的病史、细致的口腔检查及组织病理和血清免疫学检测可帮助我们正确诊断DG相关性皮肤疾病。DG相关性皮肤疾病治疗包括局部治疗和系统治疗,不同疾病及不同患者对药物反应差异较大,需要确定个体化的治疗方案,治疗过程中应加强口腔卫生,避免真菌和细菌继发感染,并注意口腔和牙周组织的保护。

Skin diseases manifesting as desquamative gingivitis (DG) can be divided into recurrent DG- and chronic DG-related skin diseases, including oral lichen planus, mucosal pemphigoid, pemphigus vulgaris and so on. A thorough medical history, detailed oral and histopathological examinations and serum immunological tests can be helpful for correct diagnosis of DG ? related skin diseases. The treatment of DG - related skin diseases includes topical and systemic therapies. It is necessary to individualize treatment protocols due to treatment response. During the treatment of DG, oral hygiene should be strengthened, secondary fungal and bacterial infections should be avoided, and attention should be paid to the protection of oral cavity and periodontal tissues.