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Oral manifestations of vitiligo.

Nagarajan A, Masthan MK, Sankar LS, Narayanasamy AB, Elumalai R - Indian J Dermatol (2015 Jan-Feb)

Bottom Line: Intraoral mucosal involvement was found in 21% of patients.Among intraoral mucosal site palate was common followed by buccal and labial mucosa, gingiva.Two patients had lip pigmentation as the only manifestation without any depigmentation in the skin.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Pathology, SreeBalaji Dental College and Hospital, Chennai, Tamil Nadu, India.

ABSTRACT

Background: Vitiligo is one of the disorder that has social impact. Both skin and mucous membrane show depigmentation in vitiligo. Depigmentation in oral cavity can be more easily observed and the patient can be given awareness regarding the condition if they are unaware of vitiligo elsewhere in their body and can be guided for treatment.

Aim and objectives: The aim of this study is to determine the frequency of occurrence of oral mucosal vitiligo in vitiligo patients and to determine the most commonly involved oral mucosal site.

Materials and methods: The study sample included 100 vitiligo patients. The patients of all age groups and both genders were included. Vitiligo patients associated with systemic conditions such as thyroid disorders, juvenile diabetes mellitus, pernicious anemia, Addison's disease were excluded in this study.

Results: Out of 100 vitiligo patients 44 % male and 56% were female. The oral presentation of vitiligo in this study showed depigmentation of buccal mucosa in 5% of patients, labial mucosa in 5% of patients, palate in 8% of patients, gingiva in 2% of patients and alveolar mucosa 1%. Depigmentation of lip was seen in 42% of patients. Lip involvement refers to depigmentation of both the lips or either lip. Also vermilion border involvement was noted in majority of cases. In some cases, the depigmentation of lip extended to the facial skin also.

Conclusion: In this study 55 patients out of 100 patients showed depigmentation in the oral cavity. Lip involvement was most common in this study showing about 42% of patients. Intraoral mucosal involvement was found in 21% of patients. Among intraoral mucosal site palate was common followed by buccal and labial mucosa, gingiva. Two patients had lip pigmentation as the only manifestation without any depigmentation in the skin.

No MeSH data available.


Related in: MedlinePlus

Pie chart showing the age distribution among the 100 vitiligo patients
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Figure 1: Pie chart showing the age distribution among the 100 vitiligo patients

Mentions: Among the 100 vitiligo patients in our study 44% were males and 56% females. The minimum age of 4 years and the maximum age of 76 years were observed in this study. Among the 100 vitiligo patients 18% were up to 25 years, 14% within 25 to 35 years, 30% within 35 to 45 years, 19% within 45 to 55 years and 19% more than 55 years (Graph 1). In the present study of 100 vitiligo patients, 55 patients showed depigmentation in the oral cavity. Oral mucosal depigmentation were presented in lip (42%), palate (8%), buccal mucosa (5%), labial mucosa (5%) and gingiva (2%) [Table 1 and Graph 2]. The association of oral vitiligo with respect to age was 10% within 25 years, 6% among age group of 26-35 years, 14% among age group of 36-45 years, 6% within 46-55 years and 9% of patients above 55 years [Table 2 and Graph 3]. Regarding the gender, the association of oral presentation among our study group showed to be 18% in males and 27% in females [Table 3 and Graph 4].


Oral manifestations of vitiligo.

Nagarajan A, Masthan MK, Sankar LS, Narayanasamy AB, Elumalai R - Indian J Dermatol (2015 Jan-Feb)

Pie chart showing the age distribution among the 100 vitiligo patients
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4318026&req=5

Figure 1: Pie chart showing the age distribution among the 100 vitiligo patients
Mentions: Among the 100 vitiligo patients in our study 44% were males and 56% females. The minimum age of 4 years and the maximum age of 76 years were observed in this study. Among the 100 vitiligo patients 18% were up to 25 years, 14% within 25 to 35 years, 30% within 35 to 45 years, 19% within 45 to 55 years and 19% more than 55 years (Graph 1). In the present study of 100 vitiligo patients, 55 patients showed depigmentation in the oral cavity. Oral mucosal depigmentation were presented in lip (42%), palate (8%), buccal mucosa (5%), labial mucosa (5%) and gingiva (2%) [Table 1 and Graph 2]. The association of oral vitiligo with respect to age was 10% within 25 years, 6% among age group of 26-35 years, 14% among age group of 36-45 years, 6% within 46-55 years and 9% of patients above 55 years [Table 2 and Graph 3]. Regarding the gender, the association of oral presentation among our study group showed to be 18% in males and 27% in females [Table 3 and Graph 4].

Bottom Line: Intraoral mucosal involvement was found in 21% of patients.Among intraoral mucosal site palate was common followed by buccal and labial mucosa, gingiva.Two patients had lip pigmentation as the only manifestation without any depigmentation in the skin.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Pathology, SreeBalaji Dental College and Hospital, Chennai, Tamil Nadu, India.

ABSTRACT

Background: Vitiligo is one of the disorder that has social impact. Both skin and mucous membrane show depigmentation in vitiligo. Depigmentation in oral cavity can be more easily observed and the patient can be given awareness regarding the condition if they are unaware of vitiligo elsewhere in their body and can be guided for treatment.

Aim and objectives: The aim of this study is to determine the frequency of occurrence of oral mucosal vitiligo in vitiligo patients and to determine the most commonly involved oral mucosal site.

Materials and methods: The study sample included 100 vitiligo patients. The patients of all age groups and both genders were included. Vitiligo patients associated with systemic conditions such as thyroid disorders, juvenile diabetes mellitus, pernicious anemia, Addison's disease were excluded in this study.

Results: Out of 100 vitiligo patients 44 % male and 56% were female. The oral presentation of vitiligo in this study showed depigmentation of buccal mucosa in 5% of patients, labial mucosa in 5% of patients, palate in 8% of patients, gingiva in 2% of patients and alveolar mucosa 1%. Depigmentation of lip was seen in 42% of patients. Lip involvement refers to depigmentation of both the lips or either lip. Also vermilion border involvement was noted in majority of cases. In some cases, the depigmentation of lip extended to the facial skin also.

Conclusion: In this study 55 patients out of 100 patients showed depigmentation in the oral cavity. Lip involvement was most common in this study showing about 42% of patients. Intraoral mucosal involvement was found in 21% of patients. Among intraoral mucosal site palate was common followed by buccal and labial mucosa, gingiva. Two patients had lip pigmentation as the only manifestation without any depigmentation in the skin.

No MeSH data available.


Related in: MedlinePlus