Clinical  and Radiographic Findings

The patient exhibited a positive Nikolsky sign where separation of the epithelium from the connective tissue was evident. The ulcerative lesions included generalized gingiva (maxilla and mandible) (Fig 1), floor of mouth and palate. There was no evidence of true vesicles or bullae formation.

Fig 1. This is a clinical view of the lesion at presentation demonstrating generalized ulcerative gingivitis “desquamative gingivitis” on the facial maxillary and mandibular gingiva.