Bullous disease after dental implant placement procedure
a case report highlighting clinical aspects
DOI:
https://doi.org/10.5935/2525-5711.20180011Keywords:
Linear IgA Bullous Dermatosis, Skin Diseases, Vesiculobullous, Dental Implants, Risk FactorsAbstract
IgA bullous dermatosis (LIgAD) is an uncommon diagnosis in Oral Medicine. The LIgAD- associated oral mucosa involvement was previously described by other authors and the clinical presentation is similar to other bullous diseases such as Pemphigus Vulgaris or other subtypes of Pemphigoids. The aim of this work is to report a case of a 63-years- old male who consulted for several painfully bullous lesions related to a story of non- treated cutaneous and ocular lesions. The patient referred the begin of the disease after a dental implant surgery procedure. The Direct Immunofluorescence allowed to show an IgA deposit in a linear pattern throughout the base membrane zone. After diagnosis, a corticosteroid treatment was applied with a huge improvement and healing of the lesions. This is the first case described in current literature of a rare bullous entity associated with a dental implant placement procedure. Since there was described several trigger factors related to dental practice, there should be more reports of these cases highlighting clinical presentation, therapeutic management and probable trigger factors for this entity.
References
Chorzelski TP, Jablonska S. IgA linear dermatosis of childhood (chronic bullous disease of childhood). Br J Dermatol. 1979;101:535-42.
Jablonska S, Chorzelski T. IgA linear dermatosis (author's transl). Ann Dermatol Venereol. 1979;106:651-5.
Joseph TI, Sathyan P, Goma Kumar KU. Linear IgA dermatosis adult variant with oral manifestation: A rare case report. J Oral Maxillofac Pathol. 2015;19:83-7. DOI: 10.4103/0973-029X.157207
O'Regan E, Bane A, Flint S, Timon C, Toner M. Linear IgA disease presenting as desquamative gingivitis: a pattern poorly recognized in medicine. Arch Otolaryngol Head Neck Surg. 2004;130:469-72. DOI: 10.1001/archotol.130.4.469
Pinto S, Gabusi A, Servidio D, Tiberio C, Gissi DB. A case of linear IgA disease limited to the oral mucosa. Ann Stomatol (Roma). 2013;4(Suppl 2):36-7.
Shah S, Mohr B, Parekh P. Linear IgA bullous dermatosis mimicking oral lichen planus. Proc (Bayl Univ Med Cent). 2017;30:360-1.
Chan LS, Regezi JA, Cooper KD. Oral manifestations of linear IgA disease. J Am Acad Dermatol. 1990;22:362-5.
Aoki V, Sousa JX Jr, Fukumori LM, Périgo AM, Freitas EL, Oliveira ZN. Direct and indirect immunofluorescence. An Bras Dermatol. 2010;85:490-500.
Regezi JA, Sciubba JJ, Jordan RCK. Oral pathology: clinical pathologic correlations. St. Louis: Elsevier; 2017.
Angiero F, Benedicenti S, Crippa R, Magistro S, Farronato D, Stefani M. A rare case of desquamative gingivitis due to linear IgA disease: morphological and immunofluorescence features. In Vivo. 2007;21:1093-8.
Chanal J, Ingen-Housz-Oro S, Ortonne N, Duong TA, Thomas M, Valeyrie-Allanore L, et al. Linear IgA bullous dermatosis: comparison between the drug-induced and spontaneous forms. Br J Dermatol. 2013;169:1041-8. DOI: 10.1111/bjd.12488
Nasr J, Ammoury A, Chouairy C, Mégarbané H, El Habr C. Drug-induced linear IgA bullous dermatosis simulating toxic epidermal necrolysis. J Med Liban. 2014;62:176-9.
Girao L, Fiadeiro T, Rodrigues JC. Burn-induced linear IgA dermatosis. J Eur Acad Dermatol Venereol. 2000;14:507-10.
Dănescu S, Chiorean R, Macovei V, Sitaru C, Baican A. Role of physical factors in the pathogenesis of bullous pemphigoid: Case report series and a comprehensive review of the published work. J Dermatol. 2016;43:134-40. DOI: 10.1111/1346-8138.13031
Jacyk WK, Nagel GJ, van der Hoven AE. Linear IgA dermatosis and Hodgkin's lymphoma--report of a case in an African and review of the literature. J Dermatol. 1990;17:633-7.
Kapur A, Isaacs PE, Kelsey PR. Linear IgA dermatosis, coeliac disease, and extraintestinal B cell lymphoma. Gut. 1995;37:731-3.
Polat M, Lenk N, Kürekçi E, Oztaş P, Artüz F, Alli N. Chronic bullous disease of childhood in a patient with acute lymphoblastic leukemia: possible induction by a drug. Am J Clin Dermatol. 2007;8:389-91.
Verma R, Vasudevan B, Pragasam V, Dabbas D. Linear IgA disease in an adult with unusual clinical features. Indian Dermatol Online J. 2013;4:115. DOI: 10.4103/2229-5178.110637
Lings K, Bygum A. Linear IgA bullous dermatosis: a retrospective study of 23 patients in Denmark. Acta Derm Venereol. 2015;95:466-71. DOI: 10.2340/00015555-1990
Sandoval M, Farias MM, Gonzalez S. Linear IgA bullous dermatosis: report of five cases in Chile. Int J Dermatol. 2012;51:1303-6. DOI: 10.1111/j.1365-4632.2011.05324.x
Souza BC, Fregonesi NCFP, Tebcherani AJ, Sanchez APG, Aoki V, Fernandes JC. Linear IgA bullous dermatosis: report of an exuberant case. An Bras Dermatol. 2013;88(6 Suppl 1):67-70. DOI: 10.1590/abd1806-4841.20132154
Caballero-Escuti G, Chiesura V, Hernández M, Valente E, Kurpis M, Lascano AR. Dermatosis por depósito lineal de IgA: comunicación de tres casos y revisión de la literatura. Arch Argent Dermatol. 2014;64:7-10.
Gameiro A, Gouveia M, Tellechea O, Goncalo M. Vancomycin-induced linear IgA bullous dermatosis: associations. Dermatol Online J. 2016;22: pii:13030/qt8k63322n.
Ho JC, Ng PL, Tan SH, Giam YC. Childhood linear IgA bullous disease triggered by amoxicillin-clavulanic acid. Pediatr Dermatol. 2007;24:E40-3. DOI: 10.1111/j.1525-1470.2007.00438.x
Bouldin MB, Clowers-Webb HE, Davis JL, McEvoy MT, Davis MD. Naproxen-associated linear IgA bullous dermatosis: case report and review. Mayo Clin Proc 2000;75:967-70. DOI: 10.4065/75.9.967
Salomon RJ, Briggaman RA, Wernikoff SY, Kayne AL. Localized bullous pemphigoid. A mimic of acute contact dermatitis. Arch Dermatol. 1987;123:389-92.
Ghura HS, Johnston GA, Milligan A. Development of a bullous pemphigoid after split-skin grafting. Br J Plast Surg. 2001;54:447-9. DOI: 10.1054/bjps.2001.3601
McGrath J, Black M. Split skin grafting and bullous pemphigoid. Clin Exp Dermatol. 1991;16:72-3.
Arndt KA, Feingold DS. The sign of Pyotr Vasilyewich Nikolsky. N Engl J Med. 1970;282:1154-5. DOI: 10.1056/NEJM197005142822011
Scully C, Carrozzo M, Gandolfo S, Puiatti P, Monteil R. Update on mucous membrane pemphigoid: a heterogeneous immune-mediated subepithelial blistering entity. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88:56-68. DOI: 10.1016/S1079-2104(99)70194-0
Grinspan D. Enfermedades de la boca. Buenos Aires: Mundi; 1970.
Kurnatowska AJ. Search for correlation between symptoms and signs of changes in the oral mucosa and presence of fungi. Mycoses. 2001;44:379-82.
Arduino PG, Farci V, D'Aiuto F, Carcieri P, Carbone M, Tanteri C, et al. Periodontal status in oral mucous membrane pemphigoid: initial results of a case-control study. Oral Dis. 2011;17:90-4. DOI: 10.1111/j.1601-0825.2010.01709.x
Jascholt I, Lai O, Zillikens D, Kasperkiewicz M. Periodontitis in oral pemphigus and pemphigoid: A systematic review of published studies. J Am Acad Dermatol. 2017;76:975-8.e3. DOI: 10.1016/j.jaad.2016.10.028
Arduino PG, Lopetuso E, Carcieri P, Giacometti S, Carbone M, Tanteri C, et al. Professional oral hygiene treatment and detailed oral hygiene instructions in patients affected by mucous membrane pemphigoid with specific gingival localization: a pilot study in 12 patients. Int J Dent Hyg. 2012;10:138-41. DOI: 10.1111/j.1601-5037.2011.00527.x
Han JH, Yun SJ, Kim SJ, Lee SC, Won YH, Lee JB. A Case of Chronic Bullous Disease of Childhood That Was Reactive to the Antigen of 120 kDa (LAD-1). Ann Dermatol. 2011;23:209-12. DOI: 10.5021/ad.2011.23.2.209
Ramos-Castellón C, Ortiz-Nieva G, Fresán F, Villalvazo L, Garfias Y, Navas A, et al. Ocular involvement and blindness secondary to linear IgA dermatosis. J Ophthalmol. 2010;2010:280396. DOI: 10.1155/2010/280396
Karagöz G, Bektaş-Kayhan K, Ünür M. Evaluation of pemphigus cases involving oral mucosa. Oral Health Dent Manag. 2014;13:605-9.
Fahad AS, Ammar AR. Unusual clinicopathological and immunological presentation of chronic bullous dermatosis of childhood (linear IgA dermatosis). Indian J Dermatol. 2011;56:573-5. DOI: 10.4103/0019-5154.87159
Piette EW, Werth VP. Dapsone in the management of the autoimmune bullous diseases. Dermatol Clin. 2011;29:561-4. DOI: 10.1016/j.det.2011.06.018
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 1969 Gerardo Marcelo Gilligan, María Fernanda Galíndez-Costa, Lorena Moine, Gabriela Sambuelli, René Luis Panico
This work is licensed under a Creative Commons Attribution 4.0 International License.
