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Article Dans Une Revue Journal of Stomatology, Oral and Maxillofacial Surgery Année : 2018

Diagnosis of a case of ligneous gingivitis in a patient with moderate plasminogen deficiency

V Malthiery
V Torres
  • Fonction : Auteur
V. Costes-Martineau
  • Fonction : Auteur

Résumé

Plasminogen deficiency is a rare congenital condition that leads to pseudomembraneous lesions, such as ligneous conjunctivitis and ligneous gingivitis. Because of its rarity, ligneous gingivitis is not a pathology one may easily suspect from its clinical symptoms. We report the case of a 35-year-old Caucasian woman who experienced gum masses with white spots, but no pain. Based on the clinical picture, one could refute a diagnosis of necrotizing ulcerative periodontitis. Several biopsies were taken. The last ones showed an amorphous eosinophilic substance that could be fibrin. Plasmatic dosage of plasminogen (activity level 44%) confirmed the hypothesis of ligneous gingivitis. This report appears to be a very rare diagnosis of a ligneous gingivitis without major conjunctivitis, associated with a moderate plasminogen deficiency.
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Dates et versions

hal-02045576 , version 1 (22-02-2019)

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V Malthiery, V Torres, V. Costes-Martineau, M.-A. Fauroux. Diagnosis of a case of ligneous gingivitis in a patient with moderate plasminogen deficiency. Journal of Stomatology, Oral and Maxillofacial Surgery, 2018, ⟨10.1016/j.jormas.2018.11.014⟩. ⟨hal-02045576⟩
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