潰瘍性大腸炎の初期症状として出現した増殖性化膿性口内炎の1例

A case of pyostomatitis vegetans as an initial symptom of ulcerative colitis is reported. A 16-year-old girl with no history of systemic disease was referred to our department because of oral pain. Miliary pustules with a cobblestone appearance and a partial ulcer were found in the bilateral maxilla...

Full description

Saved in:
Bibliographic Details
Published in日本口腔外科学会雑誌 Vol. 60; no. 5; pp. 295 - 299
Main Authors 松田, 光平, 進藤, 正信, 鈴木, 豊典, 小林, 一三, 藤田, 温志, 格口, 渉
Format Journal Article
LanguageJapanese
Published 社団法人 日本口腔外科学会 20.05.2014
Subjects
初発症状
増殖性化膿性口内炎
潰瘍性大腸炎
Online AccessGet full text
ISSN0021-5163
2186-1579
DOI10.5794/jjoms.60.295

Cover

Abstract A case of pyostomatitis vegetans as an initial symptom of ulcerative colitis is reported. A 16-year-old girl with no history of systemic disease was referred to our department because of oral pain. Miliary pustules with a cobblestone appearance and a partial ulcer were found in the bilateral maxillary gingiva and the left mandibular gingiva. Treatment with topical corticosteroids had no effect on the oral lesions. We recommended that the patient sought medical consultation because of fever, diarrhea, and hematochezia. She was given a diagnosis of ulcerative colitis and was prescribed mesalazine by a physician. After treatment, the fever, diarrhea, and hematochezia resolved. On the other hand, the oral lesion expanded and involved the entire mucosa of the mouth. Histopathological examination revealed that the lesion was suppurative inflammation with ulcer formation, diagnosed as pyostomatitis vegetans. Immediately after the systemic administration of corticosteroids began, the oral mucosal lesion resolved.
AbstractList A case of pyostomatitis vegetans as an initial symptom of ulcerative colitis is reported. A 16-year-old girl with no history of systemic disease was referred to our department because of oral pain. Miliary pustules with a cobblestone appearance and a partial ulcer were found in the bilateral maxillary gingiva and the left mandibular gingiva. Treatment with topical corticosteroids had no effect on the oral lesions. We recommended that the patient sought medical consultation because of fever, diarrhea, and hematochezia. She was given a diagnosis of ulcerative colitis and was prescribed mesalazine by a physician. After treatment, the fever, diarrhea, and hematochezia resolved. On the other hand, the oral lesion expanded and involved the entire mucosa of the mouth. Histopathological examination revealed that the lesion was suppurative inflammation with ulcer formation, diagnosed as pyostomatitis vegetans. Immediately after the systemic administration of corticosteroids began, the oral mucosal lesion resolved.
Author 小林, 一三
格口, 渉
鈴木, 豊典
松田, 光平
進藤, 正信
藤田, 温志
Author_xml – sequence: 1
  fullname: 松田, 光平
  organization: 医療法人耳鼻咽喉科麻生北見病院歯科口腔外科
– sequence: 1
  fullname: 進藤, 正信
  organization: 北海道大学大学院歯学研究科口腔病態学講座口腔病理学教室
– sequence: 1
  fullname: 鈴木, 豊典
  organization: 医療法人耳鼻咽喉科麻生北見病院歯科口腔外科
– sequence: 1
  fullname: 小林, 一三
  organization: JR札幌病院歯科口腔外科
– sequence: 1
  fullname: 藤田, 温志
  organization: 医療法人耳鼻咽喉科麻生北見病院歯科口腔外科
– sequence: 1
  fullname: 格口, 渉
  organization: 医療法人耳鼻咽喉科麻生北見病院歯科口腔外科
BookMark eNo9UMtKw0AAXKSCtfbmb6TubpJN9iRSfEHBi4K3sBt3NaEPSXrxZoQ-8NVb40EpqFhPxZOIYP2YmKSfYdqKl5lhhpnDLINcvVEXAKwiWNINqq25bqPmlwgsYaovgDxGJlFQluRAHkKMFB0RdQkUfd_hEOqmQQ2V5MFh8vWW3t0k58P4eThpfaQXt1EwirsPyf0gDTvp5XsUvEZBGAUvcecz7Y1nehA_hsmoP21d9yft76noPcXt1ryOfsZXK2BRsqovin9cAAdbm_vlHaWyt71b3qgoLlYhVNgRN7mElOuSS8mEaUPEpDQpVjGyGUWCCyI51ohmE25mvuQGlQblkGNia2oBrM93Xb_JjoV16jk15p1ZzGs6dlVYs1ssAi19Ctk3_4l9wjzLZeov9Zt_Ng
ContentType Journal Article
Copyright 2014 社団法人 日本口腔外科学会
Copyright_xml – notice: 2014 社団法人 日本口腔外科学会
DOI 10.5794/jjoms.60.295
DatabaseTitleList
DeliveryMethod fulltext_linktorsrc
EISSN 2186-1579
EndPage 299
ExternalDocumentID article_jjoms_60_5_60_295_article_char_ja
GroupedDBID ALMA_UNASSIGNED_HOLDINGS
F5P
JSF
KQ8
RJT
ID FETCH-LOGICAL-j2300-adb8bf09b5fbffae8c01aff892321ca91ebe6fb2464c6b8892fb79f79b0b26c43
ISSN 0021-5163
IngestDate Wed Sep 03 06:12:02 EDT 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed false
IsScholarly true
Issue 5
Language Japanese
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-j2300-adb8bf09b5fbffae8c01aff892321ca91ebe6fb2464c6b8892fb79f79b0b26c43
OpenAccessLink https://www.jstage.jst.go.jp/article/jjoms/60/5/60_295/_article/-char/ja
PageCount 5
ParticipantIDs jstage_primary_article_jjoms_60_5_60_295_article_char_ja
PublicationCentury 2000
PublicationDate 2014/05/20
PublicationDateYYYYMMDD 2014-05-20
PublicationDate_xml – month: 05
  year: 2014
  text: 2014/05/20
  day: 20
PublicationDecade 2010
PublicationTitle 日本口腔外科学会雑誌
PublicationTitleAlternate 日口外誌
PublicationYear 2014
Publisher 社団法人 日本口腔外科学会
Publisher_xml – name: 社団法人 日本口腔外科学会
References 5) Hegarty AM, Barrett AW, et al : Pyostomatitis vegetans. Clin Exp Dermatol 29: 1-7, 2004.
10) Wray D : Pyostomatitis vegetans. Br Dent J 157: 316-319, 1984.
17) Susanna N and Stefan S : Reviews In Basic And Clinical Gastroenterology: Diagnostics of Inflammatory Bowel Disease. Gastroenterology 133: 1670-1689, 2007.
18) Trost LB and McDonnell JK : Important cutaneous manifestations of inflammatory bowel disease. Postgrad Med J 81: 580-585, 2005.
19) Brinkmeier T and Frosch PJ : Pyodermatitis-pyostomatitis vegetans: a clinical course of two decades with response to cyclosporine and low-dose prednisolone. Acta Derm Venereol 81: 134-136, 2001.
11) Calobrisi SD, Mutasim DF, et al : Pyostomatitis vegetans associated with ulcerative colitis. Temporary clearance with fluocinonide gel and complete remission after colectomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 79: 452-454, 1995.
7) 宮内重彦，藤林孝司，他：潰瘍性大腸炎に合併した増殖性化膿性口内炎の1例．日口外誌 32: 230-239, 1986.
6) Leibovitch I, Ooi C, et al : Pyodermatitis-pyostomatitis vegetans of the eyelids case report and review of the literature. Ophthalmology 112: 1809-1813, 2005.
8) 奈良奈美子，池辺哲郎，他：潰瘍性大腸炎に合併した増殖性化膿性口内炎 （pyostomatitis vegetans） の1例．日口外誌 47: 55-57, 2001.
9) Konstantopoulou M, O’Dwyer EM, et al : Pyodermatitis-pyostomatitis vegetans complicated by methicillinresistant Staphylococcus aureus infection. Clin Exp Dermatol 30: 666-668, 2005.
13) Su WP, Schroeter AL, et al : Histopathologic and immunopathologic study of pyoderma gangrenosum. J Cutan Pathol 13: 323-330, 1986.
3) Chaudhry SI, Philpot NS, et al : Pyostomatitis vegetans associated with asymptomatic ulcerative colitis: a case report. Oral Surg Oral Med Pathol Oral Radiol Endod 87: 327-330, 1999.
14) Harish K, Varghese T, et al : Pyoderma vegetans and ulcerative colitis. J Postgrad Med 52: 302-303, 2006.
16) Soriano ML, Martínez N, et al : Pyoderm: atitispyostomatitis vegetans: report of a case and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 87: 322-326, 1999.
12) Fulbright RK, Wolf JE, et al : Pyoderma gangrenosum at surgery sites. J Dermatol Surg Oncol 11: 883-886, 1985.
4) Ruiz-Roca JA, Berini-Aytés L, et al : Pyostomatitis vegetans. Report of two cases and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 99: 447-454, 2005.
15) Delaporte E, Viget N,et al : Pyostomatitis-pyodermatitis vegetans uncovering a case of Crohn disease. Ann Dermatol Venereol 125: 331-334, 1998.
21) 相原裕之，樋渡信夫：サラゾスルファピリジンと5-ASA 製剤．日本臨牀 57: 2476 -2480, 1999.
1) Dunlap CL, Friesen CA, et al : Chronic stomatitis: An early sign of Crohn’s disease. JADA 128: 347-348, 1997.
2) Mcarthy FP : Pyostomatitis vegetans; report of three cases. Arch Derm Syphilol 60: 750-764, 1949.
20) VanHale HM, Rogers RS, et al : Pyostomatitis vegetans. Arch Dermatol 121: 94-98, 1985.
References_xml – reference: 2) Mcarthy FP : Pyostomatitis vegetans; report of three cases. Arch Derm Syphilol 60: 750-764, 1949.
– reference: 14) Harish K, Varghese T, et al : Pyoderma vegetans and ulcerative colitis. J Postgrad Med 52: 302-303, 2006.
– reference: 16) Soriano ML, Martínez N, et al : Pyoderm: atitispyostomatitis vegetans: report of a case and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 87: 322-326, 1999.
– reference: 15) Delaporte E, Viget N,et al : Pyostomatitis-pyodermatitis vegetans uncovering a case of Crohn disease. Ann Dermatol Venereol 125: 331-334, 1998.
– reference: 7) 宮内重彦，藤林孝司，他：潰瘍性大腸炎に合併した増殖性化膿性口内炎の1例．日口外誌 32: 230-239, 1986.
– reference: 3) Chaudhry SI, Philpot NS, et al : Pyostomatitis vegetans associated with asymptomatic ulcerative colitis: a case report. Oral Surg Oral Med Pathol Oral Radiol Endod 87: 327-330, 1999.
– reference: 6) Leibovitch I, Ooi C, et al : Pyodermatitis-pyostomatitis vegetans of the eyelids case report and review of the literature. Ophthalmology 112: 1809-1813, 2005.
– reference: 11) Calobrisi SD, Mutasim DF, et al : Pyostomatitis vegetans associated with ulcerative colitis. Temporary clearance with fluocinonide gel and complete remission after colectomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 79: 452-454, 1995.
– reference: 1) Dunlap CL, Friesen CA, et al : Chronic stomatitis: An early sign of Crohn’s disease. JADA 128: 347-348, 1997.
– reference: 20) VanHale HM, Rogers RS, et al : Pyostomatitis vegetans. Arch Dermatol 121: 94-98, 1985.
– reference: 17) Susanna N and Stefan S : Reviews In Basic And Clinical Gastroenterology: Diagnostics of Inflammatory Bowel Disease. Gastroenterology 133: 1670-1689, 2007.
– reference: 4) Ruiz-Roca JA, Berini-Aytés L, et al : Pyostomatitis vegetans. Report of two cases and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 99: 447-454, 2005.
– reference: 10) Wray D : Pyostomatitis vegetans. Br Dent J 157: 316-319, 1984.
– reference: 18) Trost LB and McDonnell JK : Important cutaneous manifestations of inflammatory bowel disease. Postgrad Med J 81: 580-585, 2005.
– reference: 19) Brinkmeier T and Frosch PJ : Pyodermatitis-pyostomatitis vegetans: a clinical course of two decades with response to cyclosporine and low-dose prednisolone. Acta Derm Venereol 81: 134-136, 2001.
– reference: 13) Su WP, Schroeter AL, et al : Histopathologic and immunopathologic study of pyoderma gangrenosum. J Cutan Pathol 13: 323-330, 1986.
– reference: 8) 奈良奈美子，池辺哲郎，他：潰瘍性大腸炎に合併した増殖性化膿性口内炎 （pyostomatitis vegetans） の1例．日口外誌 47: 55-57, 2001.
– reference: 12) Fulbright RK, Wolf JE, et al : Pyoderma gangrenosum at surgery sites. J Dermatol Surg Oncol 11: 883-886, 1985.
– reference: 21) 相原裕之，樋渡信夫：サラゾスルファピリジンと5-ASA 製剤．日本臨牀 57: 2476 -2480, 1999.
– reference: 5) Hegarty AM, Barrett AW, et al : Pyostomatitis vegetans. Clin Exp Dermatol 29: 1-7, 2004.
– reference: 9) Konstantopoulou M, O’Dwyer EM, et al : Pyodermatitis-pyostomatitis vegetans complicated by methicillinresistant Staphylococcus aureus infection. Clin Exp Dermatol 30: 666-668, 2005.
SSID ssib005879736
ssib058493840
ssj0001742264
ssib000940266
Score 1.9555432
Snippet A case of pyostomatitis vegetans as an initial symptom of ulcerative colitis is reported. A 16-year-old girl with no history of systemic disease was referred...
SourceID jstage
SourceType Publisher
StartPage 295
SubjectTerms 初発症状
増殖性化膿性口内炎
潰瘍性大腸炎
Title 潰瘍性大腸炎の初期症状として出現した増殖性化膿性口内炎の1例
URI https://www.jstage.jst.go.jp/article/jjoms/60/5/60_295/_article/-char/ja
Volume 60
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
ispartofPNX 日本口腔外科学会雑誌, 2014/05/20, Vol.60(5), pp.295-299
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3La9RAGA-lXryIouKbHpyTpCaTyTyOyW6WoigILfQWMmlyWLAVbS-eXKGt-Oqt9aAUVKyn4klEsP4x6-72z_Cbb7LbbPVQi7CEb7_5zfdMMjNhHo5z3afU01SWbkFz7TKde67kHnOzAtoXLrgWuBPTnbt8Zo7dmg_nJyaT2qyllWU9nT_-67qS42QVeJBXs0r2HzI7EgoMoCG_cIUMw_VIOSYJJ3GTxB5JBFGSyKbhSI9EgiQhiRgSwA9JLA1GUiITkgTQfyRRYjBSEoW1VIOoFsoBmEBwRGI-BMuKgNKKw7G6IHGE4BaJk8MYIxDMoMjhRqPiYxbKBnLAQnCkNV7UIlGABDf2_2G8TxJmVMq43r9GTwSJwsqlqFGThYFQrAqNUSyMMuUjp4kugUywCVxSRMVYJEkUgaHDOxMFN9FZYYRB8OEuRS3wU4aIFYmDA7wyTsXUSDKmMYvnqDFAjWCeP4aXJGZDD6TFA8s3KbGKYnmAD40NEqOnEqMC8cykHBRXhKp_3vGZmZlAvdEDiZHAcII08NvYBRkJiApRANwJ0Y3_Fdt6Q0l9N_SrtqdAnjm9zPVDe_bPsPG0h0FUL4mw3hLas1OrThW1p2Adbq9BGDPtdXvp_qNp7k2PKo3tgF49XynCUu6lobkANh2WmBWKaRuGSSeoEDhb4_a92ihDMY_WRi2hFEoEo__QBVfBcMsj_DQrcHm5nRxmw2CXzBhzb9aNhW5rGwZxwwmg2CedPe2cqgaTU5G174wz0c7OOvP9H18Gb171n-z0Pu7sr34bPH3d7ez2nr3rv90ebK0Pnn_tdj53O1vdzqfe-vfBxh7S2733W_3dTVPr5eb-2k9DbHzora3a6v6vvRfnnLlWMtuYcavzU9w2DTzPzRa01KWndFjqsswKmXt-VpYSxnTUzzPlwwucl5oyznKuJfBLLVQplIbXN89ZcN6ZXFxaLC44U2ZXrjILFryFDGeka16UlEudByrjugguOtIGIn1gN8lJj5y0S8evetk5efDIXHEmlx-uFFdhjLCsr-Ed8Buzwt0F
linkProvider Colorado Alliance of Research Libraries
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E6%BD%B0%E7%98%8D%E6%80%A7%E5%A4%A7%E8%85%B8%E7%82%8E%E3%81%AE%E5%88%9D%E6%9C%9F%E7%97%87%E7%8A%B6%E3%81%A8%E3%81%97%E3%81%A6%E5%87%BA%E7%8F%BE%E3%81%97%E3%81%9F%E5%A2%97%E6%AE%96%E6%80%A7%E5%8C%96%E8%86%BF%E6%80%A7%E5%8F%A3%E5%86%85%E7%82%8E%E3%81%AE1%E4%BE%8B&rft.jtitle=%E6%97%A5%E6%9C%AC%E5%8F%A3%E8%85%94%E5%A4%96%E7%A7%91%E5%AD%A6%E4%BC%9A%E9%9B%91%E8%AA%8C&rft.au=%E6%9D%BE%E7%94%B0%2C+%E5%85%89%E5%B9%B3&rft.au=%E9%80%B2%E8%97%A4%2C+%E6%AD%A3%E4%BF%A1&rft.au=%E9%88%B4%E6%9C%A8%2C+%E8%B1%8A%E5%85%B8&rft.au=%E5%B0%8F%E6%9E%97%2C+%E4%B8%80%E4%B8%89&rft.date=2014-05-20&rft.pub=%E7%A4%BE%E5%9B%A3%E6%B3%95%E4%BA%BA+%E6%97%A5%E6%9C%AC%E5%8F%A3%E8%85%94%E5%A4%96%E7%A7%91%E5%AD%A6%E4%BC%9A&rft.issn=0021-5163&rft.eissn=2186-1579&rft.volume=60&rft.issue=5&rft.spage=295&rft.epage=299&rft_id=info:doi/10.5794%2Fjjoms.60.295&rft.externalDocID=article_jjoms_60_5_60_295_article_char_ja
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0021-5163&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0021-5163&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0021-5163&client=summon