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Persistent Ulcer of the Alveolar Mucosa

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    Abstract

    Case History

    A 62-year-old male with a five-year history of pemphigus vulgaris was seen in a periodontics clinic for evaluation of a persistent ulcer of the mandibular alveolar mucosa. Following treatment with systemic steroids and rituximab, all lesions had resolved; however, an ulcer of the left mandibular buccal vestibule persisted for several months. The patient denied any side effects from treatment, significant pain of the lesion, and a history of trauma to the area. The patient’s medical history is significant for quadruple heart bypass surgery, type 2 diabetes, and prostate cancer. The patient’s social history is significant for being a former smoker, having quit 11 years prior.

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