Optical coherence tomography imaging of oral mucosa bullous diseases: a preliminary study.

Optical coherence tomography (OCT) is a non-invasive technique based on optical imaging with a micrometre resolution. The purpose of this study is to investigate the potential role of OCT in evaluating oral mucosa bullous diseases. two patients with bullous pemphigoid (BP) and one patient with pemphigus vulgaris (PV) were examined and images of their oral lesions were performed using OCT. In OCT images, the BP blister has a clearly different morphology from the PV one compared to the blistering level. This exploratory study suggests that the OCT is able to distinguish epithelial and subepithelial layer in vivo images of healthy oral mucosa from those with bullous diseases, assisting the clinicians in differential diagnosis.The presented data are in accordance with the scientific literature, although a wider pool of cases is needed to increase statistical power. Histological examination and immunofluorescence methods remain the gold standard for the diagnosis of oral bullous diseases. In this context, the OCT can provide the clinician with a valuable aid both as an additional diagnostic tool and in the follow up of the disease.

Citation

Dario Di Stasio, Dorina Lauritano, Francesca Loffredo, Enrica Gentile, Fedora Della Vella, Massimo Petruzzi, Alberta Lucchese. Optical coherence tomography imaging of oral mucosa bullous diseases: a preliminary study. Dento maxillo facial radiology. 2020 Feb;49(2):20190071

Mesh Tags

PMID: 31430177

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