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Article Synopsis
  • A 73-year-old man with diabetes treated with sitagliptin developed widespread, itchy red skin lesions suspected to be a drug eruption due to the medication.
  • Histopathological analysis revealed significant eosinophilic infiltration, leading to the discontinuation of sitagliptin and improvement with treatment, including prednisolone and phototherapy.
  • Five months later, he experienced blistering lesions, and further tests indicated he had anti-laminin γ1 pemphigoid, a rare condition linked to the DPP-4 inhibitor, with some supporting autoimmune response findings.
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Recurrent Aphthous Stomatitis: An Enigmatic Entity and Sign of Systemic Disease.

Indian J Dermatol

January 2022

Department of Dermatology and Pathology, Rutgers New Jersey Medical School, and Oral Medicine, Rutgers School of Dental Medicine, Newark, New Jersey, USA.

Recurrent aphthous stomatitis (RAS) is a common oral disease characterized by intermittent eruptions of painful oral ulcerations. Hippocrates first described aphthous stomatitis with the Greek word meaning "to inflame." RAS affects 10-20% of the population with the incidence being the highest among young adults.

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Colchicine has been known and used for over a millennium for its anti-inflammatory properties, being the treatment of choice for gout and familial Mediterranean fever. A tricyclic alkaloid extracted from the herbaceous plant, , colchicine blocks multiple inflammatory pathways, and has antimitotic and antifibrotic action. Although there are insufficient data on the beneficial mechanism of action, colchicine is a widely used treatment in dermatology, one of the morbid conditions with more evidence of efficacy being recurrent aphthous stomatitis (RAS), a disorder with incompletely known etiopathogenesis and, consequently, with poorly defined treatment.

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Dysgeusia is the first recognized oral symptom of novel coronavirus disease (COVID-19). In this review article, we described oral lesions of COVID-19 patients. We searched PubMed library and Google Scholar for published literature since December 2019 until September 2020.

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