Raghavendra KİNİ, Prasanna Kumar RAO, Charvi CHAWLA, Gowri P. BHANDARKAR, Roopashri Rajesh KASHYAP

Psoriasis- can oral lesion be a common sign?

Psoriasis is a common multisystem inflammatory chronic disease with predominantly skin and joint manifestations manifesting with remissions and exacerbations. It is a common skin disorder characterized by focal formation of raised plaques that constantly shed scales derived from excessive growth of skin epithelial cells. It is believed to be genetically linked but can also be triggered by mechanical, ultraviolet and chemical injury, various infections, drugs, psychological stress, and smoking. Oral manifestations of psoriasis are rare and are often difficult to diagnose. Oral psoriasis is a rare entity and geographic tongue is significantly more frequent in psoriatic patients but only a limited data is available so psoriatic patients should be encouraged to undergo routine dental checkups.

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L Germi, V De Giorgi, F Bergamo, MC Niccoli , F Kokelj, M Simonacci, et al. Psoriasis and oral lesions: Multicentric study of oral mucosa diseases italian group (GIPMO). Dermatology Online Journal 2012.
Tomb R, Hajj H, Nehme E. Oral lesions in psoriasis. Ann Dermatol Venereol 2010;137(11):695-702.
Yamada J, Amar S, Petrungaro P. Psoriasis associated periodontitis:A case report. J Periodontol 1992;63:854-7.
Eastman JR, Goldblatt LI. Psoriasis. Palatal manifestations andphysiologic considerations. J Periodontol 1983;54:736-9.
Hume WJ. Geographic stomatitis: A critical review. J Dent 1975;3:25-43..
Rahman MA, Fikree M. Perioral psoriasis. J Eur Acad Dermatol Venereol 2000;14(6):521-2.
Oppenheim M. Psoriasis mucosae oris. Monatsschr Prakt Dermatol 1903;37:481.
Scully C, Hegarty A. The oral cavity and lips. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook’s Textbook of Dermatology. 8 th ed. Chichester: WileyBlackwell; 2010. p. 69.1-69.129.
Yesudian PD, Chalmers RJ, Warren RB, Griffiths CE. In search of oral psoriasis. Arch Dermatol Res 2012;304(1):1-5.
Bruce AJ, Roger RS 3rd. Oral psoriasis. Dermatol Clin 2003;21(1):99-104.
Daneshpazhooh M, Moslehi H, Akhyani M, Etesami M. Tongue lesions in psoriasis: a controlled study. BMC Dermatol 2004;4(1):16.
Morris LF, Phillips CM, Binnie WH, Sander HM, Silverman AK, Menter MA. Oral lesions in patients with psoriasis: a controlled study. Cutis 1992;49(5):339-44.
Femiano F. Geographic tongue (migrant glossitis) and psoriasis. Minerva Stomatol 2001;50(6):213-7.
Pogrel MA, Cram D. Intraoral findings in patients with psoriasis 6. with a special reference to ectopic geographic tongue (erythema circinata). Oral Surg Oral Med Oral Pathol 1988;66(2):184-9.
Shulman JD, Carpenter WM. Prevalence and risk factors as4. sociated with geographic tongue among US adults. Oral Dis 2006;12(4):381-6.
Hernández-Pérez F, Jaimes-Aveldañez A, UrquizoRuvalcaba 3. Mde L, Díaz-Barcelot M, Irigoyen-Camacho ME, Vega-Memije ME, et al. Prevalence of oral lesions in patients with psoriasis. Med Oral Patol Oral Cir Bucal 2008;1;13(11):E703-8.
Costa SC, Hirota SK, Takahashi MD, Andrade H Jr,Migliari DA. Oral lesions in 166 patients with cutaneous psoriasis: a controlled study. Med Oral Patol Oral Cir Buccal 2009;1;14(8):e371-5.
Van Onselen J. Psoriasis in general practice. Nurs Stand 1998;12(30):32-3.
Stern RS. Psoriasis. Lancet 1997;2;350(9074):349-53.
Zargari O. The prevalence and significance of fissured tongue and geographicaltongue in psoriatic patients. Clin Exp Dermatol 2006;31(2):192-95.
Shafer WG, Hine MK, Levy BM. Diseases of the skin. A text book oforal pathology. Philadelphia: WB Saunders; 1983. p. 814-16.
Schmidt JE. Medical discoveries, who and when. Springfield, IL: Thomas; 1959. p. 391.
Zhu JF, Kaminski MJ, Pulitzer DR, Hu J, Thomas HF. Psoriasis: Pathophysiology and oral manifestations. Oral Dis 1996;2(2):135-44.
Griffiths CM, Barker JN. Pathogenesis and clinical features of psoriasis. Lancet 2007;370(9583):263-71.