Estudo clínico sobre a relação da psoríase com alterações da mucosa bucal
Clinical study of the relationship of psoriasis with oral mucosal alterations
Gonzaga, H.F.S.; Consolaro, A.
Rev. odontol. UNESP, vol.21, nÚnico, p.87-95, 1992
Resumo
Trezentos e seis pacientes, sendo 118 psoriásicos, 88 portadores de língua geográfica e 100 pacientes com outras doenças (grupo controle), foram submetidos a exame clínico geral, dermatológico e estomatológico completos. A prevalência da língua geográfica foi maior no grupo psoriásico (13,6%) do que no grupo controle (3%), bem como a língua fissurada (36,4% e 12%, respectivamente). A comparação entre os grupos estudados permitiu inferir que a língua geográfica pode ser uma forma frusta da psoríase, que a precederia com ou sem simultaneidade posterior. O traço clínico comum entre as duas condições são os fatores etiológicos envolvidos, especialmente o estresse emocional e a hereditariedade, bem como a forma de estabelecimento de suas lesões fundamentais.
Palavras-chave
Psoriase, glossite migratória benigna, língua fissurada
Abstract
Three-hundred and six patients were evaluated in the present study. One-hundred and eighteen were psoriatic patients, 88 had geographic tongue and 100 patients presented other skin diseases (control group). All the patients were submitted to thorough general clinical, dermatological and oral examinations. The incidence of geographic tongue was greater for the psoriasis group (13,6%) than for the control group (3%), as well as the fissured tongue (36,4% and 12%, respectively). Comparison of the studied groups allowed to conclude that geographyc tongue can be a truste form of psoriasis that would precede it and could ar not be simultaneous later on. The etiological factors involved, specially the emotional stress and the heredity, as well as the form of stablishing their basic lesions, comprise the clinical trends between those two conditions.
Keywords
Psoriasis, glossitis benign migratory, tongue fissured
References
1. BAKER, H. Psoriasis. ln: ROOK, A, WILKINSON, D.S., EBUNG, F.J.G., CHAMPlON, RH, BURTON, J.1. Textbook of dennatology 4.ed. London: Blackwell Scientific, 1986. cap. 37, p. 1469-532.
2. BAKER, H., RYAN, T.J. Generalized pustular psoriasis; a clinical and epiderniological study of 104 cases. Br. J. Dermatoi., v. 80, p. 771-93, 1968.
3. BANOCZY, J., SZABO, 1., CSIBA, A Migratory glossitis; a clinical- histologic review of seventy cases. Oral Surg., v. 39, p. 113-21, 1975.
4. BARTON, DR, SPIER, K., CROVELLO, T.J. Benignrnigratory glossitis and allergy. Pecliat. Dent., v. 4, p. 249-50, 1982.
5. BAUGHMAN, RD. Efeito das influências psicossomáticas na psoriase. ln: EPSTElN, E. Controvérsias em dermatologia. Rio de Janeiro: Biogalênica - Produtos Ciba-Geigy, 1986. p. 20-1.
6. BUCHNER, A, BEGLElTER, A Orallesions in psortatic patients. Oral Surg., v. 41, p. 327-31, 1976.
7. CHOSACK, A ZADlK, D., EIDELMAN, E. The prevalence of scrotal tongue and geographic tangue in 70,359 israeli schoolchildren. Community Dent. Oral Epidemioi., v. 2, p. 253-7, 1974.
8. COOKE, B.E.D. Median rhomboid glossitis and ibenign glossitisrnigrans (geographical tongue). Br. Dent. J., v. 112, p. 389-93, 1962..
9. DAWSON, TAJ. Tongue lesions in generalized pustular psoriasis. Br. J. pennatoi., v. 91, p. 419-24, 1974.
10. DUPRE, A, CHRISTOL, B., BONAFE, J.1., LASSERE, J. Bacterides de Andrews y annulus rnigrans. Med. Cutan. Ibero Latinoamer, v. 3, p. 455-8, 1975.
11. EPSTEIN, R.N. Influências psicológicas são importantes na psoríase. ln: EPSTEIN, E. Controvérsias em dermatologia. Rio de Janeiro: Biogalênica - Produtos Ciba-Geigy, 1986. p. 16-9.
12. FARBER, E., VAN SCOTT, E.J. Psoríasis. ln: FITZPATRICK, T. B. et alo Dermatologia en medicina general. 2.ed. Buenos Aires: Panamerícana, 1980. cap. 26, p. 305-18.
13. FRY, L. Psoríasis. Br. J. Dermatol., V. 119, p. 445-61, 1988.
14. HIETANEN, J., SALO, O.P., KANERVA, L., JWAKOSKI, T. Study of the oral mucosa in 200 consecutive patients with psoríasis. Scand 1. Dent. Res., V. 92, p. 50-4, 1984.
15. HUBLER JúNIOR, w.R. Linguallesions oí generalized pustular psoriasis. Report of tive cases and a review of the literature. 1. Am. Acad. Dermatol., V. 11 p. 1069-76, Dec., 1984.
16. LEVER, W.F., LEVER, G.S. Histopathologyoftheskin. 6.ed. Philadelphia: Lippincott, 1983. p.139-47.
17. UTTNER, M.M. et alo Migratory stomatitis. Oral Surg., V. 63, p. 555-9, 1987.
18. MARKS, R., SIMONS, M.J. Geographic tongue; a manifestation of atopy. Br. J. Dermatol., V. 101, p. 159-62, 1979.
19. O'KEEFE, E., BRAVERMAN, 1.M., COHEN, 1. Annulus rnigrans. Arch. Dermatol., v. 107, p. 240-4, 1973.
20. PINDBORG, J.J. Atlas das doenças da mucosa oral. São Paulo: Panamericana, 1981. p. 226.
21. POGREL, MA, CRAM, D. Intraoral tindings in patients with psoriasis with a special reference to ectopic geographic tongue (erythema circinata). Oral Surg., V. 66, p. 184-9, 1988.
22. RAGHOEBAR, G.M., BONT, L.G.M., SCHOOTS, C.J.F. Erythema rnigrans of the oral mucosa; report oftwo cases. Ouintessence Int., V. 19, p. 809"11,1988.
23. SALMON, T.N., ROBERTSON JUNIOR, G.R., TRACY JUNIOR, N.R, HIATT, W.R. Oral psoriasis. Oral Surg., V. 38, p. 48-57, 1974.
24. SAMIT, A.M., GREENE, GW. Atypical benign rnigratory glossits; report of a case with histologic and electron rnicroscopic evaluations. Oral Surg., V. 42, p. 780-91, 1976.
25. SAPIRO, S.M., SKLAR, G. Stomatitis areata rnigrans. Oral Surg., V. 36, p. 28-33, 1973.
26. VAN DER WAL, N. et alo Geographic stomatitis and psoriasis. Int.1. Oral Maxillofac. Surg., V. 17, p. 106-9,1988.
27. WAGNER, G., LUCKASEN, J.R., GOLTZ, R.W. Mucous membrane involvement in generalized pustular psoriasis. Arch. Dermatol., v. 112, p. 1010-4, 1976.
28. WEATHERS, D.R., BAKER, G., ARCHARD, RO., BURKES JUNIOR, E.J. Psoriasiform lesions ofthe oral mucosa (with emphasis on "ectopic geographic tongue"). Oral Surg., V. 37, p. 872-88, 1974.
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