Plasmapheresis in Management of Oral Autoimmune Disorders

  • Kanupriya Gupta MDS- Oral Pathology, Ph.D Research Scholar & Senior Research Fellow, Division of Oral Pathology, Faculty of Dental Sciences, IMS, BHU, Varanasi, India

Abstract

Systemic autoimmune diseases based on an immune pathogenesis produce autoantibodies and circulating immune complexes, which cause inflammation in the tissues of various organs. In most cases, these diseases have a bad prognosis without treatment. Autoimmune disorders are a group of poorly understood diseases in which the body fails to distinguish between self and non- self which could result in damage to the self. Oral mucous membrane may be affected by a variety of autoimmune mucocutaneous diseases such as pemphigus, bullous pemphigoid, mucous membrane pemphigoid, lichen planus, erythema multiforme, Steven Johnson syndrome, epidermolysis bullosa, linear IgA disease etc. These diseases (commonest being pemphigus) cannot be controlled in some cases, even with very high doses of systemic corticosteroids and immunosuppressive agents. In such cases plasmapheresis is one of the most effective therapeutic methods to deplete sera of immunoglobulin, including pathogenic autoantibodies. The aim of this review is to describe plasmapheresis as an adjunct therapy for oral autoimmune disorders.


Keywords: autoimmune diseases, plasmapheresis, pemphigus, lichen planus, erythema multiforme, Steven Johnson syndrome, epidermolysis bullosa, linear IgA disease

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Author Biography

Kanupriya Gupta, MDS- Oral Pathology, Ph.D Research Scholar & Senior Research Fellow, Division of Oral Pathology, Faculty of Dental Sciences, IMS, BHU, Varanasi, India

MDS- Oral Pathology, Ph.D Research Scholar & Senior Research Fellow, Division of Oral Pathology, Faculty of Dental Sciences, IMS, BHU, Varanasi, India

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Gupta K. Plasmapheresis in Management of Oral Autoimmune Disorders. JDDT [Internet]. 15May2019 [cited 28Mar.2024];9(3):658-60. Available from: https://www.jddtonline.info/index.php/jddt/article/view/2905