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Mujer de 67 años que presenta desde hace un año y medio
unas lesiones en encías que le producen dolor y escozor. A la exploración
oral se observan áreas eritematosas en encías de ambos maxilares,
tanto en la vertiente vestibular como lingual, acompañándose
de zonas ampollares sangrantes y descamativas (Figura
1) (Figura 2) . El signo de
Nikolsky fue negativo. No existían alteraciones en otras mucosas
ni en la piel.
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A 67 year old female with an 18 months history of various painful and burning gingival lesions. Intraoral exam revealed erythematous lesions on the vestibular and lingual, maxillary and mandibular gingiva (Figure 1) (Figure 2) . A vesiculo-erosive eruption was also noted. The vesicles and bullae had a bleeding tendency. The Nikolsky sign was negative. They were no other mucosal or skin lesions. Biopsies were taken for routine histopathologic (Figure 3) (Figure 4) and immunofluorescence in which we found and IgA positivity at basement membrane zone (Figure 5) |
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Penpigo Liquen plano |
Penphigus Lichen planus
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In the first presentation we didn´t say the positivity at basement membrane zone was with IgA |
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