中华皮肤科杂志 ›› 2019, Vol. 52 ›› Issue (6): 440-442.doi: 10.3760/cma.j.issn.0412-4030.2019.06.016

• 继续医学教育 • 上一篇    

以剥脱性龈炎为表现的皮肤疾病诊疗进展

李锁    李志量    荆可    向睿宇    张寒梅    冯素英    

  1. 中国医学科学院  北京协和医学院  皮肤病医院皮肤科  江苏省皮肤病与性病学重点实验室,南京  210042
    李锁现在南京医科大学附属常州市第二人民医院皮肤科,江苏常州  213003 
  • 发布日期:2019-06-03
  • 通讯作者: 冯素英 E-mail:fengsy@pumcderm.cams.cn
  • 基金资助:
    中国医学科学院医学与健康科技创新工程项目(CIFMS?2017-I2M-1-017)

Diagnosis and treatment of skin diseases manifesting as desquamative gingivitis

Li Suo, Li Zhiliang, Jing Ke, Xiang Ruiyu, Zhang Hanmei, Feng Suying    

  1. Department of Dermatology, Hospital for Skin Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Jiangsu Key Laboratory of Molecular Biology for Skin Diseases and STIs, Nanjing 210042, China 
    Li Suo is working on the Department of Dermatology, Changzhou No.2 People′s Hospital, Affiliated to Nanjing Medical University, Changzhou 213003, Jiangsu, China
  • Published:2019-06-03
  • Contact: Feng Suying E-mail:fengsy@pumcderm.cams.cn
  • Supported by:
    CAMS Innovation Fund for Medical Sciences (CIFMS?2017?I2M?1?017)

摘要: 【摘要】    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。

关键词: 牙龈炎; 扁平苔藓, 口腔; 天疱疮; 类天疱疮, 良性黏膜; 获得性大疱性表皮松解

Abstract: 【Abstract】    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. 

Key words: Gingivitis, Lichen planus, oral, Pemphigus, Pemphigoid, benign mucous membrane, Epidermolysis bullosa acquisita

引用本文

李锁 李志量 荆可 向睿宇 张寒梅 冯素英 . 以剥脱性龈炎为表现的皮肤疾病诊疗进展[J]. 中华皮肤科杂志, 2019,52(6):440-442. doi:10.3760/cma.j.issn.0412-4030.2019.06.016

Li Suo, Li Zhiliang, Jing Ke, Xiang Ruiyu, Zhang Hanmei, Feng Suying . Diagnosis and treatment of skin diseases manifesting as desquamative gingivitis[J]. Chinese Journal of Dermatology, 2019, 52(6): 440-442.doi:10.3760/cma.j.issn.0412-4030.2019.06.016