Leukoplakia-Like Lesions Developing in Patients with Oral Discoid Lupus Erythematosus
作者:
SchiødtMorten,
AndersenLis,
ShearMervyn,
SmithColin J.,
期刊:
Acta Odontologica Scandinavica
(Taylor Available online 1981)
卷期:
Volume 39,
issue 4
页码: 209-216
ISSN:0001-6357
年代: 1981
DOI:10.3109/00016358109162282
出版商: Taylor&Francis
关键词: Leukoplakia;oral pathology;mouth mucosa;oral manifestations
数据来源: Taylor
摘要:
In a long-term follow-up of 52 patients with oral lesions of discoid lupus erythematosus (DLE) 8 patients showed a gradual transition of the typical DLE lesions to lesions which closely resemble leukoplakia. Histopathologically and immunopathologically the leukoplakia-like lesions generally snowed features similar to those in leukoplakias not preceded by DLE. Ultrastructurally, the leukoplakia-like lesions showed the presence of cytoplasmic tubular structures in vascular endothelium rn two out of three patients examined. The leukoplakia-like stage is considered to be an inactive or scar-like stage, which may be the mucous membrane counterpart of the atrophic scars following DLE lesions of the skin.A primary examination of a DLE patient presenting oral lesions at the leukoplakia-like stage may result in an incorrect diagnosis. Therefore, when investigating patients with leukoplakias, they should be questioned on previous or present skin lesions as well as symptoms of systemic lupus erythematosus.
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