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病例报告:66岁,女,白人,龈痛5年多。检查时见病变仅限于牙龈,牙龈水肿、红斑并有溃疡坏死区,有完整的或已破的疱,牙龈脱皮,诊断为脱皮性龈炎和中度进行性牙周病。龈活检诊断为慢性脱皮性龈炎和非特异性溃疡。牙龈病变和邻近之正常牙龈活检及病人血清送免疫萤光检查,结果显示:C_4沿基底膜区呈线样沉积,邻近之正常牙龈组织显IgA、IgG、IgM和C_4沿基底膜区沉积。血清检查:基底膜区抗体和上皮细胞间抗体阴性。牙龈活检和血清的免疫萤光检查是一致的,诊断为瘫痕性类天疱疮(良性粘膜类天
Case report: 66 years old, female, white, gingivalgia more than 5 years. Check the lesion is limited to the gums, gum edema, erythema and necrotic ulcer area, a complete or broken blisters, gingival peeling, diagnosis of gingivitis and moderate progressive periodontal disease. Gingival biopsy is diagnosed as chronic gingivitis and nonspecific ulcers. Gingival lesions and adjacent normal gingival biopsy and serum immunofluorescence examination showed that: C 4 linear deposition along the basement membrane area, adjacent to the normal gingival tissue was IgA, IgG, IgM and C 4 deposition along the basement membrane area. Serum examination: basilar membrane antibody and antibody between the negative cells. Gingival biopsies and serum immunofluorescence were identical and were diagnosed as paralytic pemphigoid (benign mucosal day