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Archives of Dermatological Research

, Volume 272, Issue 3–4, pp 387–391 | Cite as

Allergic contact gingivostomatitis due to gold

  • Allan K. Izumi
Article

Summary

The sixth case of an allergic contact gingivostomatitis to gold crowns previously misdiagnosed as erosive lichen planus is reported. Patch tests to gold chloride (0.5%) and 0.05 cm3 intradermal gold sodium thiomalate (Myochrysine 50 mg/cm3) were positive at 48–72 h.

Histopathology of the allergic contact gingivitis revealed a pseudolymphomatous inflammatory dermal reaction with a dense lymphohistiocytic and plasma cell infiltrate. Removal of the gold crowns resulted in a gradual resolution of the gingivostomatitis in 4–6 months, and the patient has remained free of clinical disease for over 3 years. A review of the reported cases of allergic gingivostomatitis to gold crowns revealed that each patient clinically presented with an erosive and ulcerative inflammatory response was usually associated with a clinical history of gold jewelry intolerance.

Key words

Gold allergy Allergic contact gingivostomatitis Schlüsselwörter Goldallergie kontaktallergische Gingivostomatitis 

Zusammenfassung

Es wird der bisher sechste Fall einer kontaktallergischen Gingivostomatitis auf Goldkronen berichtet. Die Erkrankung war als erosiver Lichen ruber mucosae fehlgedeutet worden. Läppchentestungen mit Goldchlorid (0,5%) und Intrakutantestungen mit 0,5 ml Gold-Natriumthiomalat (Myochrysin, 50 mg/ml) zeigten nach 48 und 72 h positive Reaktionen.

Histopathologisch fand sich eine pseudolymphomatoide Reaktion mit einmen dichten dermalen Infiltrat aus Lymphozyten und Plasmazellen. Nach der Entfernung der Kronen bildete sich die Gingivostomatitis in Verlauf von 4–6 Monaten zunehmend zurück. Über 3 Jahre war der Patient seither klinisch erscheinungsfrei geblieben. Eine Durchsicht der Literaturmitteilungen über durch Gold verursachte allergische Gingivostomatiden ergab, daß sämtliche Patienten erosive, ulzerierende Reaktion zeigten und gewöhnlich eine Unverträglichkeit von Goldschmuck vorher bekannt war.

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Copyright information

© Springer-Verlag 1982

Authors and Affiliations

  • Allan K. Izumi
    • 1
  1. 1.Division of DermatologyUniversity of Hawaii John A. Burns, School of MedicineHonoluluUSA

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