华西口腔医学杂志 ›› 2023, Vol. 41 ›› Issue (1): 99-103.doi: 10.7518/hxkq.2023.01.013

• 病例报告 • 上一篇    下一篇

以单侧颊部局限性肿胀为首发主要表现的增殖性化脓性口炎1

阮敏慧(), 王冏珂, 曾昕()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院口腔黏膜病科,成都 610041
  • 收稿日期:2022-07-04 修回日期:2022-12-10 出版日期:2023-02-01 发布日期:2023-02-21
  • 通讯作者: 曾昕 E-mail:2622104598@qq.com;zengxin22@163.com
  • 作者简介:阮敏慧,住院医师,硕士,E-mail:2622104598@qq.com
  • 基金资助:
    国家自然科学基金(U19A2005);中国医学科学院医学与健康科技创新工程,2020年临床与转化医学研究基金(2020-I2M-C&T-A-023)

Pyostomatitis vegetans characterized by unilateral circumscribed swelling: a case report

Ruan Minhui(), Wang Jiongke, Zeng Xin.()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2022-07-04 Revised:2022-12-10 Online:2023-02-01 Published:2023-02-21
  • Contact: Zeng Xin. E-mail:2622104598@qq.com;zengxin22@163.com
  • Supported by:
    The National Natural Science Foundation of China(U19A2005);Medical and Health Science and Technology Innovation Project of Chinese Academy of Medical Sciences, Clinical and Translational Medicine Research Fund Project in 2020(2020-I2M-C&T-A-023)

摘要:

增殖性化脓性口炎(PSV)是一种以脓疱为特征的罕见疾病,常表现为“蜗牛迹”样外观病损,广泛累及多部位口腔黏膜,与炎症性肠病密切相关。本文报道1例以单侧颊部局限性肿胀为首发主要表现、经口腔病损提示发现溃疡性结肠炎的PSV患者。通过该病例分析和总结PSV的临床表现、组织病理学及免疫病理学特征,为临床诊治提供思路。

关键词: 增殖性化脓性口炎, 炎症性肠病, 颊部肿胀

Abstract:

Pyostomatitis vegetans (PSV) is a rare disease characterized by pustules. The typical manifestations are “snail-track” lesions, which widely involve multiple parts of the oral mucosa. It is often associated with inflammatory bowel disease. This paper reports a case of a patients with PSV and unilateral circumscribed swelling. Ulcerative colitis was revealed by oral lesions. The clinical manifestations as well as histopathological and immunopathological features of PSV were analyzed and summarized to provide ideas for clinical diagnosis and treatment.

Key words: pyostomatitis vegetans, inflammatory bowel disease, cheek swelling

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