A 64-year-old woman came to the oral medicine service with a 1-month history of gingiva
alterations associated with pain and weight loss. The patient had been evaluated by
several health care professionals who prescribed antifungal and anti-inflammatory
medications with no clinical response. In the medical history, the patient had reported
herpes zoster (HZ) infection in the 2 months before onset of the oral lesion. The
patient reported no other diseases.
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Biography
Dr. Lavareze is an MSc student, Department of Pathology, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil, and Department of Oral Diagnosis, School of Dentistry, Universidade Estadual de Campinas, Piracicaba, São Paulo, Brazil.
Biography
Dr. Scarini is a PhD student, Department of Pathology, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil, and Department of Oral Diagnosis, School of Dentistry, Universidade Estadual de Campinas, Piracicaba, São Paulo, Brazil.
Biography
Dr. de Lima-Souza is a PhD student, Department of Pathology, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil, and Department of Oral Diagnosis, School of Dentistry, Universidade Estadual de Campinas, Piracicaba, São Paulo, Brazil.
Biography
Dr. Egal is a collaborator professor, Department of Pathology, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil, and a postdoctoral researcher, Department of Pathology, School of Medicine, University of Utah, Salt Lake City, UT.
Biography
Dr. Tetzner is a dental surgeon, Department of Head and Neck Surgery, Santa Casa de Misericórdia de Limeira, Limeira, São Paulo, Brazil.
Biography
Dr. Leite is a PhD student, Department of Oral Diagnosis, School of Dentistry, Universidade Estadual de Campinas, Piracicaba, São Paulo, Brazil.
Biography
Dr. Vargas is an associate professor, Department of Oral Diagnosis, School of Dentistry, Universidade Estadual de Campinas, Piracicaba, São Paulo, Brazil.
Biography
Dr. Altemani is an associate professor, Department of Pathology, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil.
Biography
Dr. Mariano is an associate professor, Department of Pathology, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil.
Article Info
Publication History
Published online: July 20, 2022
Publication stage
In Press Corrected Proof
Footnotes
Disclosures. None of the authors reported any disclosures.
This work was supported by grants 15/07304-0, 19/06809-2, and 19/09419-0 from the São Paulo State Research Foundation and finance code 001 from the Coordination of Training of Higher Education Graduate Foundation.
Diagnostic Challenge is published in collaboration with the American Academy of Oral and Maxillofacial Pathology and the American Academy of Oral Medicine.
Identification
DOI: https://doi.org/10.1016/j.adaj.2022.06.004
Copyright
© 2022 American Dental Association. All rights reserved.
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