ASPECTS OF ORAL SYNDROME INVOLVED IN SOME COLLAGENES DISSEMINATED- LUPUS ERITEMATOS

Kamel Earar, Gabi Topor , Răzvan Leață

ABSTRACT

 

Systemic diseases are diseases whose etiology is generally little known and little understood, they are probably multifactorial. They use to affect a large category of organs, which are difficult to define. Of all collagenosis, lupus erythematosus has been of particular interest to most researchers, making important progress, wearing the most polymorphous aspects, which borrow the clinical expression of other collagen diseases, being quite common in terms of statistical morbidity. Chronic lupus erythematosus was first reported by Rayer in 1827 as “sebaceous flux”. Biett, (1828) more closely described its clinical forms as more particular locations, describing “symmetrical centrifugal lupus” and separates “deep destroying lupus” from “surface destroyer.” Disseminated lupus erythematosus, a disease par excellence autoimmune, is a disease of connective tissue, with a generalized, systematic character, which covers the most polymorphic aspects.Material and method: The study includes a number of 12 cases, from 2012-2017, with different dental changes (lesions) related to lupus erythematosus.Results and discussions:The type of treatment depends first and foremost on the severity and extent of SLE, mainly appreciated by not affecting or affecting the major organs. This requires a complete assessment of the patient, clinical and paraclinical, including more aggressive diagnostic procedures.Conclusions: The first manifestation of lupus erythematosus is the appearance of a rash of color vivid red, sometimes slightly swollen located on the face, nose, cheeks, preauricular area or the outer ear. On the surface of this erythema, soon appears a hyperkeratosis limited at first to the whole follicle, which appear dilated by a corneum cork, which does not exceed the size of a needle tip. Hyperkeratosis, in time affects the interfolicular space, too, taking the appearance of scaly thick white dirty, adhering to the subjacent epidermis of follicular folihyperkeratosis.

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