Chronic ulcerative stomatitis: Case series of an under-recognized entity

Journal of Cutaneous Pathology
Eugene M KoMay P Chan

Abstract

Chronic ulcerative stomatitis (CUS) is a mucocutaneous condition characterized by chronic relapsing and remitting oral ulcers and erosions. This condition remains under-recognized among dermatopathologists, possibly because of common misdiagnosis as oral erosive lichen planus (LP). We report five cases of CUS in order to raise awareness of this uncommon condition. All patients presented with desquamative gingivitis and/or oral erosions, with biopsies showing lichenoid mucositis and epithelial nuclear IgG deposition on direct immunofluorescence. Recognition of the characteristic direct immunofluorescence findings allows for distinction of chronic ulcerative stomatitis from oral LP and appropriate therapy.

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Citations

Nov 21, 2018·Oral Diseases·Lorenzo AzziMalgorzata Olszewska
Jun 21, 2019·Journal of Investigative and Clinical Dentistry·Kittiphoj TikkhanarakKobkan Thongprasom
Sep 25, 2020·International Journal of Dermatology·Eric T StooplerThomas P Sollecito
May 5, 2021·Indian Journal of Dermatology, Venereology and Leprology·Amitha RameshPavithra Jaganathan
Dec 17, 2020·The Journal of the American Dental Association·Roopali KulkarniEric T Stoopler

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