Oral Findings of Systemic Lupus Erythematosus- A Grand Round Case  

Apostolos Th. Matiakis1 , Andreas Xanthis2 , Thomas Zaraboukas3 , Dimitrios Ioannides4
1. Oral Medicine-Dental School-Aristotle University of Thessaloniki-Thessaloniki, Greece
2. Department of Internal Medicine-Drama Hospital- Drama, Greece
3. Pathology-Medical School-Aristotle University of Thessaloniki-Thessaloniki, Greece
4. Dermatology and Venereology-Medical School-Aristotle University of Thessaloniki-Thessaloniki, Greece
Author    Correspondence author
International Journal of Clinical Case Reports, 2016, Vol. 6, No. 10   doi: 10.5376/ijccr.2016.06.0010
Received: 02 Feb., 2016    Accepted: 28 Mar., 2016    Published: 05 May, 2016
© 2016 BioPublisher Publishing Platform
This is an open access article published under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Preferred citation for this article:

A. Matiakis, A. Xanthis, T. Zaraboukas, and D. Ioannides, 2016, Oral Findings of Systemic Lupus Erythematosus- A Grand Round Case, International Journal of Clinical Case Report, 6(10): 1-5 (doi: 10.5376/ijccr.2016.06.0010)

Abstract

A case of an SLE patient with an erythematous plaque at hard palate surrounded by white striae and a chronic cutaneous lupus erythematosous (CCLE) history is being reported. Other authors’ findings are being critically discussed and we focus on the following:

i. Need of oral lesions histopathologic examination in SLE patients as they contribute to diagnosis establishment.

ii. Oral ulcers do not certainly constitute neither the unique nor the main oral lesion in SLE since apart from them are reported red and white plaques, red macules, lechinoid reactions as well as periodontal manifestations (marginal or/and desquamative gingivitis).

iii. Biopsy is crucial for excluding oral squamous cell carcinoma, especially in oral ulcers.

iv. In the case of SLE xerostomia minor salivary glands biopsy contributes to secondary Sjögren syndrome diagnosis.

v. Contribution of oral manifestations in early SLE diagnosis, leads to effective treatment and prevention of serious systemic malfunctions, potentially lethal.

Keywords
Systemic lupus erythematosus; Oral findings; SLE diagnostic criteria
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