Noninvasive Techniques for Management of Erythema Multiforme
An 18-year-old man was referred for a diagnosis of extensive oral lesions. During the interview, he reported a medical history of ganglionic tuberculosis, type 2 herpes infection, and significant weight loss due to dysphagia. Intraoral exam revealed multiple painful and ulcerated lesions covered by...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2023/9938939 |
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| author | Fabiana Martins Debora Pallos Jodkandlys Candeia Rodrigo Zerbinati Paulo Henrique Braz-Silva Luana Campos |
| author_facet | Fabiana Martins Debora Pallos Jodkandlys Candeia Rodrigo Zerbinati Paulo Henrique Braz-Silva Luana Campos |
| author_sort | Fabiana Martins |
| collection | DOAJ |
| description | An 18-year-old man was referred for a diagnosis of extensive oral lesions. During the interview, he reported a medical history of ganglionic tuberculosis, type 2 herpes infection, and significant weight loss due to dysphagia. Intraoral exam revealed multiple painful and ulcerated lesions covered by pseudomembrane. Lesions were observed on the labial and buccal mucosa, tongue, and soft palate. The laboratory findings included serum positivity for the Epstein-Barr virus, and salivary tests showed positive values for herpes simplex virus (HSV-2) and human herpesvirus (HHV-7). The diagnostic hypothesis was based on clinical findings and viral infection detected in the saliva, which triggered an immunological disorder, that is, erythema multiforme (EM). The treatment consisted of antimicrobial photodynamic therapy (aPDT), with substantial improvement in pain and healing as seen in the following twenty-four hours. Complete resolution of the lesions was achieved five days after the first session. Once the diagnosis of virus-induced EM was confirmed, noninvasive techniques (e.g., salivary tests and aPDT) were very successful and can be indicated for managing these lesions. |
| format | Article |
| id | doaj-art-e797ee72ad1c40d6ac6bfd1e3e124545 |
| institution | Kabale University |
| issn | 2090-6455 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-e797ee72ad1c40d6ac6bfd1e3e1245452025-02-03T06:42:55ZengWileyCase Reports in Dentistry2090-64552023-01-01202310.1155/2023/9938939Noninvasive Techniques for Management of Erythema MultiformeFabiana Martins0Debora Pallos1Jodkandlys Candeia2Rodrigo Zerbinati3Paulo Henrique Braz-Silva4Luana Campos5Postgraduate Program in DentistryPostgraduate Program in DentistryPostgraduate Program in DentistryLaboratory of Virology (LIM-52)Department of StomatologyPostgraduate Program in DentistryAn 18-year-old man was referred for a diagnosis of extensive oral lesions. During the interview, he reported a medical history of ganglionic tuberculosis, type 2 herpes infection, and significant weight loss due to dysphagia. Intraoral exam revealed multiple painful and ulcerated lesions covered by pseudomembrane. Lesions were observed on the labial and buccal mucosa, tongue, and soft palate. The laboratory findings included serum positivity for the Epstein-Barr virus, and salivary tests showed positive values for herpes simplex virus (HSV-2) and human herpesvirus (HHV-7). The diagnostic hypothesis was based on clinical findings and viral infection detected in the saliva, which triggered an immunological disorder, that is, erythema multiforme (EM). The treatment consisted of antimicrobial photodynamic therapy (aPDT), with substantial improvement in pain and healing as seen in the following twenty-four hours. Complete resolution of the lesions was achieved five days after the first session. Once the diagnosis of virus-induced EM was confirmed, noninvasive techniques (e.g., salivary tests and aPDT) were very successful and can be indicated for managing these lesions.http://dx.doi.org/10.1155/2023/9938939 |
| spellingShingle | Fabiana Martins Debora Pallos Jodkandlys Candeia Rodrigo Zerbinati Paulo Henrique Braz-Silva Luana Campos Noninvasive Techniques for Management of Erythema Multiforme Case Reports in Dentistry |
| title | Noninvasive Techniques for Management of Erythema Multiforme |
| title_full | Noninvasive Techniques for Management of Erythema Multiforme |
| title_fullStr | Noninvasive Techniques for Management of Erythema Multiforme |
| title_full_unstemmed | Noninvasive Techniques for Management of Erythema Multiforme |
| title_short | Noninvasive Techniques for Management of Erythema Multiforme |
| title_sort | noninvasive techniques for management of erythema multiforme |
| url | http://dx.doi.org/10.1155/2023/9938939 |
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