1. Mr. Anderson, 52, has been seen in your practice every 4 to 6 months for many years. He usually presents with some generalized erythema of the gingival tissues, but you have always attributed this...

1.
Mr. Anderson, 52, has been seen in your practice every 4 to 6 months for many years. He usually presents with some generalized erythema of the gingival tissues, but you have always attributed this to his lack of compliance with the recommended 3-month maintenance appointments and poor oral hygiene when he is out of town or busy. He travels frequently and has missed or rescheduled appointments many times. Today, he informs you that he has been told by his family physician that he has ocular pemphigoid. Considering this recent diagnosis, answer the following questions.

a.
Describe the type of oral manifestations that might be associated with this type of vesiculobullous disorder.

b.
What oral fi ndings in Mr. Anderson’s previous dental appointments could be associated with this diagnosis?

c.
If Mr. Anderson is exhibiting oral manifestations of pemphigoid, what appointment modifi cations, if any, would need to be made? What information could you give him regarding management of his disorder at home?