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Allergic contact gingivostomatitis due to gold
Archives of Dermatological Research
|January 1, 1982
Summary
This report details the sixth case of allergic contact gingivostomatitis caused by gold crowns, often misdiagnosed. Prompt removal of gold crowns led to complete resolution, highlighting allergy as a key factor.
Area of Science:
- Oral Medicine
- Allergy and Immunology
- Dermatology
Background:
- Allergic contact gingivostomatitis to gold crowns is rare.
- Previous cases were often misdiagnosed as erosive lichen planus.
Observation:
- A patient presented with symptoms mimicking erosive lichen planus, later identified as an allergic reaction to gold crowns.
- Positive patch tests confirmed allergy to gold chloride and gold sodium thiomalate.
Findings:
- Histopathology revealed a pseudolymphomatous inflammatory dermal reaction.
- Complete resolution of gingivostomatitis occurred within 4-6 months after removal of gold crowns.
- The patient remained symptom-free for over 3 years.
Implications:
- Highlights the importance of considering gold allergy in cases of persistent oral inflammation.
- Suggests a link between gold crown allergy and gold jewelry intolerance.
- Emphasizes accurate diagnosis and appropriate management for allergic contact gingivostomatitis.