K.M. Shah Dental College and Hospital, Sumandeep Vidyapeeth University, Gujarat State
Systemic lupus erythematosus (SLE) is a chronic multisystem autoimmune disease in which disease flares are interspersed with episodes of remission. In contrast to organ specific autoimmune diseases, SLE comprises a constellation of signs and symptoms that can affect multiple organ systems. This diversity of presentation, changing clinical features and fluctuating disease course often presents challenges in diagnosis and management.
A 26 year old, male patient reported to a private dental clinic with a complaint of burning sensation in the oral cavity along with development of white lesions on the gingiva. Upon examination and detailed medical history, the patient was found to be diagnosed with Sub acute Systemic Lupus Erythematosus and was going through second remission phase. Further, the recent laboratory investigations affirmed the diagnosis of Sjogrens’ syndrome along with vasculitis. Sloughing of necrotic gingiva was seen along with xerostomia and difficulty in chewing. With multidisciplinary treatment approach and intensive care over a period of 6 months, the patient is currently in a healthy state and is able to carry out routine activities.