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ID 49064
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Author
Kanda, N
Meguro, M
Tanabe, A
Yagi, Y
Himuro, Y
Fujiwara, Y
Kobayashi, N
Abstract
Objectives: Oral health care providers may discover systemic diseases incidentally from signs observed in the oral cavity. Here, we report a case in which oral health care providers in a hospital discovered a patient with strongly suspected bullous pemphigoid (BP), which is a relatively rare but important disease, in a ward. Methods: The patient was a 78-year-old Japanese woman admitted to our hospital because of severe Alzheimer's disease. We discovered recurrent ulcers in the oral mucosa and skin when performing oral care in her ward. Biopsy could not be performed safely because of involuntary biting. We performed blood tests for anti-BP180-NC16a antibody, which is autoantibody specific for BP. Results: The patient had a very high anti-BP180-NC16a antibody titre. We consulted a dermatologist regarding her clinical course and the clinical features of the oral mucosa and skin along with blood test results. BP was very strongly suspected. Discussion: In cases in which oral health care providers suspect their patients may have BP, appropriate examination and provision of information to the doctor are important. Oral health care providers should have knowledge about systemic diseases, the signs of which appear in oral cavity to avoid missing important systemic diseases.
Keywords
bullous pemphigoid
discover
oral care
Published Date
2011-05
Publication Title
International Journal of Dental Hygiene
Volume
volume9
Issue
issue2
Start Page
159
End Page
162
ISSN
1601-5029
Content Type
Journal Article
Official Url
http://dx.doi.org/ 10.1111/j.1601-5037.2010.00448.x
language
英語
File Version
author
Refereed
True
DOI
PubMed ID
Web of Science KeyUT