ORAL MANIFESTATIONS OF SCLERODERMA - CASE REPORT

Scleroderma is a rare autoimmune disease of unknown etiology characterized by the acumination of collagen in the tissues, which can be divided into localized and systemic. The localized one occurs more in the skin and rarely intraorally. Patient M.S.O., 45 years old and white, was referred to the stomatology clinic presenting painful symptomatology on the left side palate. In her anamnesis, she reported fibromyalgia. Intraoral examination revealed leukoplastic plaques on the palate in a "saber-throb" pattern and the tongue. Use of Omcilon-A orabase was indicated without regression of the condition. Prescription prednisone 20 mg, 1 tablet/d was applied. After 3 days, regression of 80% of the lesions occurred. Reduced dose resulted in return of symptoms. Incisional biopsy of the tongue was performed. Histopathologic examination indicated localized scleroderma. The patient continues in outpatient follow-up, presenting alternation of improvement.