Plasma cell mucositis with gingival enlargement and severe periodontitis
Identifieur interne : 001294 ( Pmc/Checkpoint ); précédent : 001293; suivant : 001295Plasma cell mucositis with gingival enlargement and severe periodontitis
Auteurs : Shalini R. Gupta ; Rajiva Gupta ; Ravindra K. Saran ; Sriram KrishnanSource :
- Journal of Indian Society of Periodontology [ 0972-124X ] ; 2014.
Abstract
Plasma cell mucositis (PCM) is a very rare, chronic, multifocal, idiopathic, non-neoplastic plasma cell proliferative disorder of the upper aerodigestive tract. The classic clinical presentation is an intensely erythematous mucosa with surface changes described variously as papillomatous, cobblestone, nodular or velvety. It is a very rare condition <50 cases reported in literature. A 72-year-old male patient complained of sore throat, stomatodynia, dysphagia, multiple oral ulcers, enlarged swollen bleeding gums and mobile teeth. There was chronic inflammatory enlargement of the gingiva and palate with severe periodontitis. Histopathological examination revealed a hyperplastic epithelium with a dense infiltrate of mature polyclonal plasma cells in the superficial layer of the lamina propria. PCM is a diagnosis of exclusion, to be differentiated from other infective, reactive, autoimmune, allergic and neoplastic disorders with plasma cell infiltrates. Management with surgical and immunosuppressive therapy is mostly ineffective with short remissions and frequent relapses.
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DOI: 10.4103/0972-124X.134583
PubMed: 25024555
PubMed Central: 4095634
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Plasma cell mucositis with gingival enlargement and severe periodontitis</title><author><name sortKey="Gupta, Shalini R" sort="Gupta, Shalini R" uniqKey="Gupta S" first="Shalini R." last="Gupta">Shalini R. Gupta</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Gupta, Rajiva" sort="Gupta, Rajiva" uniqKey="Gupta R" first="Rajiva" last="Gupta">Rajiva Gupta</name><affiliation><nlm:aff id="aff2"><italic>Department of Rheumatology and Clinical Immunology, Medanta Medicity, Gurgaon, Haryana, India</italic></nlm:aff></affiliation></author><author><name sortKey="Saran, Ravindra K" sort="Saran, Ravindra K" uniqKey="Saran R" first="Ravindra K." last="Saran">Ravindra K. Saran</name><affiliation><nlm:aff id="aff3"><italic>Department of General Pathology, Govind Vallabh Pant Hospital, New Delhi, India</italic></nlm:aff></affiliation></author><author><name sortKey="Krishnan, Sriram" sort="Krishnan, Sriram" uniqKey="Krishnan S" first="Sriram" last="Krishnan">Sriram Krishnan</name><affiliation><nlm:aff id="aff4"><italic>Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, New Delhi, India</italic></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25024555</idno><idno type="pmc">4095634</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4095634</idno><idno type="RBID">PMC:4095634</idno><idno type="doi">10.4103/0972-124X.134583</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001E27</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001E27</idno><idno type="wicri:Area/Pmc/Curation">001E27</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001E27</idno><idno type="wicri:Area/Pmc/Checkpoint">001294</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001294</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Plasma cell mucositis with gingival enlargement and severe periodontitis</title><author><name sortKey="Gupta, Shalini R" sort="Gupta, Shalini R" uniqKey="Gupta S" first="Shalini R." last="Gupta">Shalini R. Gupta</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Gupta, Rajiva" sort="Gupta, Rajiva" uniqKey="Gupta R" first="Rajiva" last="Gupta">Rajiva Gupta</name><affiliation><nlm:aff id="aff2"><italic>Department of Rheumatology and Clinical Immunology, Medanta Medicity, Gurgaon, Haryana, India</italic></nlm:aff></affiliation></author><author><name sortKey="Saran, Ravindra K" sort="Saran, Ravindra K" uniqKey="Saran R" first="Ravindra K." last="Saran">Ravindra K. Saran</name><affiliation><nlm:aff id="aff3"><italic>Department of General Pathology, Govind Vallabh Pant Hospital, New Delhi, India</italic></nlm:aff></affiliation></author><author><name sortKey="Krishnan, Sriram" sort="Krishnan, Sriram" uniqKey="Krishnan S" first="Sriram" last="Krishnan">Sriram Krishnan</name><affiliation><nlm:aff id="aff4"><italic>Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, New Delhi, India</italic></nlm:aff></affiliation></author></analytic><series><title level="j">Journal of Indian Society of Periodontology</title><idno type="ISSN">0972-124X</idno><idno type="eISSN">0975-1580</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Plasma cell mucositis (PCM) is a very rare, chronic, multifocal, idiopathic, non-neoplastic plasma cell proliferative disorder of the upper aerodigestive tract. The classic clinical presentation is an intensely erythematous mucosa with surface changes described variously as papillomatous, cobblestone, nodular or velvety. It is a very rare condition <50 cases reported in literature. A 72-year-old male patient complained of sore throat, stomatodynia, dysphagia, multiple oral ulcers, enlarged swollen bleeding gums and mobile teeth. There was chronic inflammatory enlargement of the gingiva and palate with severe periodontitis. Histopathological examination revealed a hyperplastic epithelium with a dense infiltrate of mature polyclonal plasma cells in the superficial layer of the lamina propria. PCM is a diagnosis of exclusion, to be differentiated from other infective, reactive, autoimmune, allergic and neoplastic disorders with plasma cell infiltrates. Management with surgical and immunosuppressive therapy is mostly ineffective with short remissions and frequent relapses.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Zoon, Jj" uniqKey="Zoon J">JJ Zoon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Solomon, Lw" uniqKey="Solomon L">LW Solomon</name></author><author><name sortKey="Wein, Ro" uniqKey="Wein R">RO Wein</name></author><author><name sortKey="Rosenwald, I" uniqKey="Rosenwald I">I Rosenwald</name></author><author><name sortKey="Laver, N" uniqKey="Laver N">N Laver</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ferreiro, Ja" uniqKey="Ferreiro J">JA Ferreiro</name></author><author><name sortKey="Egorshin, Ev" uniqKey="Egorshin E">EV Egorshin</name></author><author><name sortKey="Olsen, Kd" uniqKey="Olsen K">KD Olsen</name></author><author><name sortKey="Banks, Pm" uniqKey="Banks P">PM Banks</name></author><author><name sortKey="Weiland, Lh" uniqKey="Weiland L">LH Weiland</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bharti, R" uniqKey="Bharti R">R Bharti</name></author><author><name sortKey="Smith, Dr" uniqKey="Smith D">DR Smith</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pepper, T" uniqKey="Pepper T">T Pepper</name></author><author><name sortKey="Shekar, K" uniqKey="Shekar K">K Shekar</name></author><author><name sortKey="Singh, M" uniqKey="Singh M">M Singh</name></author><author><name sortKey="Brennan, Pa" uniqKey="Brennan P">PA Brennan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="White, Jw" uniqKey="White J">JW White</name></author><author><name sortKey="Olsen, Kd" uniqKey="Olsen K">KD Olsen</name></author><author><name sortKey="Banks, Pm" uniqKey="Banks P">PM Banks</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Puvanendran, M" uniqKey="Puvanendran M">M Puvanendran</name></author><author><name sortKey="Lieder, A" uniqKey="Lieder A">A Lieder</name></author><author><name sortKey="Issing, W" uniqKey="Issing W">W Issing</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Khan, Na" uniqKey="Khan N">NA Khan</name></author><author><name sortKey="Mckerrow, Ws" uniqKey="Mckerrow W">WS McKerrow</name></author><author><name sortKey="Palmer, Tj" uniqKey="Palmer T">TJ Palmer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Janam, P" uniqKey="Janam P">P Janam</name></author><author><name sortKey="Nayar, Br" uniqKey="Nayar B">BR Nayar</name></author><author><name sortKey="Mohan, R" uniqKey="Mohan R">R Mohan</name></author><author><name sortKey="Suchitra, A" uniqKey="Suchitra A">A Suchitra</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hirano, T" uniqKey="Hirano T">T Hirano</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Indian Soc Periodontol</journal-id><journal-id journal-id-type="iso-abbrev">J Indian Soc Periodontol</journal-id><journal-id journal-id-type="publisher-id">JISP</journal-id><journal-title-group><journal-title>Journal of Indian Society of Periodontology</journal-title></journal-title-group><issn pub-type="ppub">0972-124X</issn><issn pub-type="epub">0975-1580</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25024555</article-id><article-id pub-id-type="pmc">4095634</article-id><article-id pub-id-type="publisher-id">JISP-18-379</article-id><article-id pub-id-type="doi">10.4103/0972-124X.134583</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Plasma cell mucositis with gingival enlargement and severe periodontitis</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Gupta</surname><given-names>Shalini R.</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Gupta</surname><given-names>Rajiva</given-names></name><xref ref-type="aff" rid="aff2">1</xref></contrib><contrib contrib-type="author"><name><surname>Saran</surname><given-names>Ravindra K.</given-names></name><xref ref-type="aff" rid="aff3">2</xref></contrib><contrib contrib-type="author"><name><surname>Krishnan</surname><given-names>Sriram</given-names></name><xref ref-type="aff" rid="aff4">3</xref></contrib></contrib-group><aff id="aff1"><italic>Department of Oral Medicine and Radiology, Maulana Azad Institute of Dental Sciences, New Delhi, India</italic></aff><aff id="aff2"><label>1</label><italic>Department of Rheumatology and Clinical Immunology, Medanta Medicity, Gurgaon, Haryana, India</italic></aff><aff id="aff3"><label>2</label><italic>Department of General Pathology, Govind Vallabh Pant Hospital, New Delhi, India</italic></aff><aff id="aff4"><label>3</label><italic>Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, New Delhi, India</italic></aff><author-notes><corresp id="cor1"><bold>Address for correspondence:</bold> Dr. Shalini R. Gupta, Department of Oral Medicine and Radiology, Maulana Azad Institute of Dental Sciences, New Delhi, India. E-mail: <email xlink:href="shalinigupta@hotmail.com">shalinigupta@hotmail.com</email></corresp></author-notes><pub-date pub-type="ppub"><season>May-Jun</season><year>2014</year></pub-date><volume>18</volume><issue>3</issue><fpage>379</fpage><lpage>384</lpage><history><date date-type="received"><day>05</day><month>8</month><year>2013</year></date><date date-type="accepted"><day>25</day><month>11</month><year>2013</year></date></history><permissions><copyright-statement>Copyright: © Journal of Indian Society of Periodontology</copyright-statement><copyright-year>2014</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Plasma cell mucositis (PCM) is a very rare, chronic, multifocal, idiopathic, non-neoplastic plasma cell proliferative disorder of the upper aerodigestive tract. The classic clinical presentation is an intensely erythematous mucosa with surface changes described variously as papillomatous, cobblestone, nodular or velvety. It is a very rare condition <50 cases reported in literature. A 72-year-old male patient complained of sore throat, stomatodynia, dysphagia, multiple oral ulcers, enlarged swollen bleeding gums and mobile teeth. There was chronic inflammatory enlargement of the gingiva and palate with severe periodontitis. Histopathological examination revealed a hyperplastic epithelium with a dense infiltrate of mature polyclonal plasma cells in the superficial layer of the lamina propria. PCM is a diagnosis of exclusion, to be differentiated from other infective, reactive, autoimmune, allergic and neoplastic disorders with plasma cell infiltrates. Management with surgical and immunosuppressive therapy is mostly ineffective with short remissions and frequent relapses.</p></abstract><kwd-group><kwd>Dysphagia</kwd><kwd>gingival enlargement</kwd><kwd>periodontitis</kwd><kwd>plasma cell mucositis</kwd><kwd>stomatodynia</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Gupta, Rajiva" sort="Gupta, Rajiva" uniqKey="Gupta R" first="Rajiva" last="Gupta">Rajiva Gupta</name><name sortKey="Gupta, Shalini R" sort="Gupta, Shalini R" uniqKey="Gupta S" first="Shalini R." last="Gupta">Shalini R. Gupta</name><name sortKey="Krishnan, Sriram" sort="Krishnan, Sriram" uniqKey="Krishnan S" first="Sriram" last="Krishnan">Sriram Krishnan</name><name sortKey="Saran, Ravindra K" sort="Saran, Ravindra K" uniqKey="Saran R" first="Ravindra K." last="Saran">Ravindra K. Saran</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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