Factitious desquamative gingivitis simulating a possible immunologic disease

Kris G. McGrath, Robert Pick, Elaine Leboff-Ries, Roy Patterson*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

A case of a unique factitious disorder resulted from self-inducement of oral lacerations, erosions, and abrasions. Previous medical investigations included evaluations by two general dentists, one oral surgeon, two periodontists, one internist, one otolaryngologist, and one infectious-disease physician. The patient had two gingival biopsies and one hospitalization. The lesions were unresponsive to several therapeutic regimens including temporary discontinuation of tooth brushing, antibiotics, and gingival dressings. The differential diagnosis included infectious, nutritional, immunologic, and factitious disorders. An apparent initial response to corticosteroids suggested the possibility of an immunologic inflammatory disease; however, no organic cause could be found. The enigma was resolved by discussion with the patient who reported that the lesions were self-induced and the manner in which this was done.

Original languageEnglish (US)
Pages (from-to)44-46
Number of pages3
JournalThe Journal of allergy and clinical immunology
Volume75
Issue number1 PART 1
DOIs
StatePublished - Jan 1985

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology

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