A case of bullous pemphigoid of the palatal mucosa

  • TAKAOKA Kazuki
    Department of Dentistry and Oral Surgery, Hyogo College of Medicine Department of Dentistry and Oral Surgery, Ashiya Municipal Hospital
  • MANNO Yukiyo
    Department of Dentistry and Oral Surgery, Hyogo College of Medicine
  • ODANAKA Osamu
    Department of Dentistry and Oral Surgery, Hyogo College of Medicine
  • FUTENMA Chouken
    Department of Dentistry and Oral Surgery, Ashiya Municipal Hospital
  • SAKURAI Kazunari
    Department of Dentistry and Oral Surgery, Hyogo College of Medicine Department of Surgical Pathology, Hyogo College of Medicine
  • URADE Masahiro
    Department of Dentistry and Oral Surgery, Hyogo College of Medicine

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Other Title
  • 口蓋粘膜に生じた水ほう性類天ほうそうの1例

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Abstract

We report a case of bullous pemphigoid occurring in the palatal mucosa. A 72-year-old woman complained of herpetiforms of the palate. Multiple red herpetiform lesions were noted on the palatal mucosa. A biopsy of the lesion showed submucosal bullae. Immunohistochemical examination with antibodies against C3 and IgG exhibited positive staining of the basement membrane. On the basis of these findings, bullous pemphigoid was diagnosed. Treatment with oral prednisolone (20mg/day) resulted in a fair response. The dose of prednisolone was gradually decreased. After 5 months of prednisolone treatment, the herpetiform lesions completely disappeared, and there has been no relapse.

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