A twenty-one-year-old woman complains that regular, gentle brushing of her teeth is painful besides causing profuse bleeding. Oral examination reveals the loss of epithelium from the attached gingival of both arches. Which of the following dermatological problems is this patient most likely to have?

Correct answer: A. Benign mucous membrane pemphigiod

  • A. Benign mucous membrane pemphigiod
  • B. Chronic discoid lupus erythematosus
  • C. Pemphigus
  • D. Psoriasis

Explanation

Mucous membrane pemphigoid commonly causes painful desquamative gingivitis, with epithelial loss and bleeding on gentle brushing. Pemphigus can also cause erosions, but mucous membrane pemphigoid has a strong predilection for gingiva and other mucosal surfaces.

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