Open Access

Table II

Orofacial manifestations of dermatomyositis.

INTRA ORAL

Diffuse stomatitis
Pharyngytis with halitosis
Telangiectatic lesions on the vermilion border of lips and cheeks
Pharyngeal, hypopharyngeal or palatal muscle weakness leading to dysphonia, dysphagia nasal twang in speech and nasal regurgitation of liquids
Lichen planus
Gingival/tongue calcinosis
Burning mouth
Pain on chewing and swallowing due to masticatory muscle tenderness
Gingival dilated telangiectasia and bleeding
Lymphoepithelial sialadenitis
Painful subcutaneous calcifications at the mandible angle
Dorsum of the tongue exhibiting depapillated atrophic patches with thick white margins and whitish and reticulated patches on buccal mucosa
Pulp chamber obliteration in teeth
Higher incidence of dental caries and plaque due to hyposalivation/xerostomia,
Hypertrichosis
Limited range of motion in the temporomandibular joint
Macroglossia
Ovoid palatal patch
Orofacial malignancy associated with DM (tongue, tonsillar pillars and nasopharynx)

EXTRA ORAL
Heliotrope rash
Scalp erythema, scaling eruption,diffuse alopecia
Midface erythema in the nasolabial fold area

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