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An Official Publication of the Indian Association of Oral and Maxillofacial Pathologists

CASE REPORT Table of Contents   
Year : 2006  |  Volume : 10  |  Issue : 1  |  Page : 36-39
Oral manifestations of dermographism

1 Dept. of Periodontics, KLE Dental College, Bangalore, India
2 Dept. Of Periodontics, JSS Dental College and Hospital, Mysore, India

Correspondence Address:
S Sunil
Dept. of Periodontics, KLE Dental College, Yeswanthpur Suburb, Bangalore - 22 Kamataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0973-029X.37802

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Dermographism is a type of physical urticaria, which literally means writing on skin. Dermographism may be defined as 'the appearance of a linear wheal at the site of brisk stroke with a firm object or by any configuration appropriate to the eliciting event'. In approximately 5 % of the population, exaggerated response of this constitutional whealing to trivial pressure and shearing forces is seen and termed dermographism. Although bronchial and genital mucosal involvement has been reported in the literature, there are no such instances where oral tissues were reported to be sensitive. This article reports one such unusual case, where a patient with dermographism also showed highly sensitive oral tissues. The increased sensitivity of oral tissues can lead to improper practice of oral hygiene habits, which can be crucial to oral health. Another rare finding was that this patient along with dermographism also had pressure urticaria, which by itself is quite rare. This article emphasizes importance of a detailed medical history, which could provide vital clues to the oral findings and help in management, when such patients are encountered.

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Journal of Oral and Maxillofacial Pathology | Published by Wolters Kluwer - Medknow
Online since 15th Aug, 2007