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Pyostomatitis Vegetans
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Pyostomatitis Vegetans

This view of the buccal mucosa and interior of the lip shows mildly elevated white lesions adjacent to the area of black sutures.
(Description By:Martin Nadel, M.D. )
(Image Contrib. by:Martin Nadel, M.D. UCHC )
Pyostomatitis Vegetans
Etiology

Unknown.
Pathogenesis

Unknown.,
Epidemiology

Rare and associated with ulcerative colitis (usually) and Crohn's disease.
General Gross Description

Small abscesses or pustules which may coalesce.
Hyperplastic folds
General Microscopic Description

Microabscesses which may be intrepithelial or below surface.
Necrosis above lesions may occur.
Inflammatory infiltrate in submucosa
Clinical Correlation

Respond to treatment of underlying GI disease
Relatively resistent to other therapy
? Steroids
References

Shafer W et al. A textbook of oral pathology, 4th ed. Philadelphia; Saunders, 1983, p361-2.
Calobrisi SD et.al. Pyostomatitis vegetans associated with ulcerative colitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995 Apr;79(4):452-454
Pyostomatitis Vegetans
Synopsis by: Melinda Sanders M.D. (T51000M40000)[617]
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