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GİNGİVADA PEMFİGUS VULGARİS'İN ERKEN LEZYONLARI*: OLGU SUNUMU

EARLY LESIONS OF PEMPHIGUS VULGARIS IN GINGIVA: A CASE REPORT

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Abstract (2. Language): 
Pemfigus vulgaris (PV), an autoimmune disorder characterized by the formation of intraepithelial vesicles and bullae and affecting the mucous membranes and skin, is the most common form of pemfigus. Though oral findings may occur in almost all cases, lesions often first appear in oral mucosa. The PV case presented here was diagnosed while the lesions were yet limited to the oral mucosa, and a better prognosis was ensured with treatment started at an early phase. In our presentation of the case, the responsibilities of the dentists for diagnosing PV come to the fore and the importance of a careful clinical inspection, anamnesis and patient follow-up against the varied clinical forms of initial lesions of PV is emphasized.
Abstract (Original Language): 
Pemligus vulgaris (PV) , müköz membranlan ve deriyi etkileyen, intraepitelyal vezikül ve bül oluşumuyla karakterize otoimmün bir hastalık olup pemfigusun en yaygın görülen formudur. Hemen her olguda oral bulgulara rastlanmakla birlikte klinikte dikkat çeken, olguların çoğunluğunda lezyonlann ilk olarak oral mukozada başlamasıdır. Bu yazıda, lezyonlar henüz oral mukozaya sınırlı iken teşhis edilmiş ve erken evrede tedaviye başlanıp daha iyi bir prognoz sağlanmış bir PV olgusu sunulmaktadır. Sunulan olguda, özellikle diş hekimlerinin PV'yi teşhis etme hususundaki sorumluluğu ön plana çıkmakta ve PV'nin başlangıç lezyonlannın değişik klinik görünümlerine karşı dikkatli bir klinik muayene, anamnez ve hasta takibinin önemi vurgulanmaktadır.
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