Reticular Oral Lichen Planus of the Buccal Mucosa: A Classical Presentation (original) (raw)
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Oral lichen planus: A review study
Journal of Pakistan Association of Dermatologists, 2022
Lichen planus (LP) is a chronic inflammatory condition affecting the skin and the mucous membrane. LP is a multifactorial condition and the pathogenesis depends mainly on the evoked cellular immunity. Most cases develop on the oral mucosa. Oral lichen planus (OLP) has several clinical patterns and the symptoms range from no symptoms to aches and burning sensations. The histopathological picture is considered a characteristic feature of OLO. OLP is incurable and the treatment aims to reduce the patient's complaints and enhance the quality of the patient's life. Although there is no uniform protocol for treatment, corticosteroids and adjuvant treatment are commonly used for OLP management. Malignant transformation is suspected in each OLP, despite the type and location of the OLP inside the mouth. Periodic follow up is required. Updating the data about the OLP is always needed to improve the outcomes of management.
Oral lichen planus: A case series
Journal of Advanced Clinical and Research Insights, 2019
Oral reticular lichen planus (OLP) is a common mucocutaneous disease of uncertain cause. The disease seems to be autoimmune disease in which the apoptosis is triggered by CD8+T cells and non-specific mechanisms such as activation of matrix metalloproteinase and degranulation of mast cell. It is most often reported in patients with 30-60 years of age, group with a gender predilection, and female-to-male ratio of 1.4:1. This article is a case series of different forms and appearances of OLP with etiopathogenesis, clinical presentation, oral findings, diagnosis, malignant transformation potential, and treatment of OLP.
2017
Lichen planus (LP) is a chronic, inflammatory, mucocutaneous, immune-mediated condition with variable clinical presentations. Oral lichen planus (OLP) is the oral variant and affects about 1–2% of the general adult population with characteristic relapses and remissions. OLP is about twice as common in females as in males. The most commonly involved oral sites are the buccal mucosa, lateral surfaces of the tongue, and gingivae, respectively. Six clinical patterns of OLP are described in literature: reticular, plaque-like, erythematous, erosive/ulcerative, papular, and bullous. Helper and cytotoxic T lymphocytes, in addition to antigen-presenting cells, represent the key cells in the inflammatory infiltrate in OLP and play an essential role in its pathogenesis. The diagnosis of OLP is usually made by clinical and histological examinations. Lesions similar to OLP may develop as a reaction to dental restorative materials or systemic medications or conditions and are called oral lichenoi...
Clinical profile of 108 cases of oral lichen planus
Journal of Oral Science, 2016
Oral lichen planus (OLP) is a T cellmediated chronic inflammatory disease with a varied clinical presentation. The present clinical study was carried out to clarify the demographic and clinical profile of 108 patients with OLP. The patients were identified based on the diagnostic criteria proposed by van der Meij et al. (2003) modified from the WHO (1978) clinical and histopathologic definition of OLP. Information such as age, gender, clinical presentation and type of OLP, site of involvement, symptoms, extraoral involvement, history of systemic disease, familial occurrence and risk factors like chewing and smoking tobacco, chewing betel quid, alcohol consumption were obtained. Mean age of OLP patients was 45.4 years, and among the identified patients, 70.4% were females. The most frequent clinical type was the reticular form (80.6%). The OLP lesions were symptomatic in 77.8% of the patients. The buccal mucosa was the most affected site (87.9%) and multiple oral lesions were observed in 41.7% of the patients. Among the OLP patients, 36.1% and 4.7% reported chewing tobacco and smoking tobacco, respectively. Histopathologically, epithelial dysplasia was seen in two cases. The chronic nature of OLP warrants patient education, psychological support and long-term follow up.
Brazilian Dental Journal, 2004
Oral lichen planus (OLP) is a chronic inflammatory disease with different clinical presentations that can be classified as reticular or atrophic-erosive. Sixty-two OLP patients were studied to evaluate the clinical-pathologic characteristics of their OLP lesions and to investigate possible differences in their biological behavior. The most common clinical presentation was the reticular type (62.9% vs 37.1%). Atrophic-erosive presentations showed significantly longer evolution (chi square=4.454; p=0.049), more extensive lesions (chi square=16.211; p=0.000) and more sites affected than reticular ones (chi square=10.048; p=0.002). Atrophic-erosive OLP was more frequently found on the tongue, gingiva and floor of the mouth. No statistically significant differences could be identified between reticular and atrophic-erosive clinical presentations in terms of age, sex, tobacco habit, plasma cortisol level and depth of inflammatory infiltrate. We concluded that the classification of OLP lesions as reticular vs atrophic-erosive is a simple, easy to use classification that can identify clinical presentations with different biological behavior.
Oral Lichen Planus in a 50-Year-Old Male Patient: A Case Report
Case Reports and Research Practices in Medicine, 2022
This paper presents the case of a 50-year-old heavy smoker male with multiple oral white lesions complaining of mild burning sensation in his mouth while consuming acidic foods and liquids. Intraoral examination revealed non-scrapable large white plaque-like lesions with slightly erythematous background on both right and left sides of jugal mucosa, and a white plaque with papillae atrophy at the right lateral border of the tongue. The diagnosis of lichen planus was confirmed through histopathological assessment. Topical corticosteroids were prescribed and symptoms improvement was achieved after two months. Regular annual long-term follow-ups were requested to monitor the disease activity and to exclude any malignant transformation.
Drugs of Today, 2002
Oral lichen planus affects 1-2 per cent of the general adult population and is the most common noninfectious oral mucosal disease in patients referred to oral medicine and oral pathology clinics. According to clinical features and histopathologic analysis, there are several variants including linear, hypertrophic, bullous, erosive, palmoplantar, nodular, annular, atrophic, follicular, ulcerative, plaque-like, reticular, papular. The aim of this communication is to provide an update of the clinical and histological features of OLP, process of OLP diagnosis, causes of OLP, management of OLP patients and medical treatment of OLP lesions. The malignant potential of OLP is discussed and practical steps to reduce the risk of oral cancer in OLP patients are presented. The need for OLP patient education is highlighted.
Oral lichen planus: clinical features, etiology, treatment and management; a review of literature
Journal of dental research, dental clinics, dental prospects, 2010
Lichen planus is a chronic inflammatory mucocutaneous disease. Mucosal lesions are classified into six clinical forms and there is malignant potential for two forms of OLP; therefore, follow-up should be considered. There are many un-established etiological factors for OLP and some different treatment modalities are based on etiology. The aims of current OLP therapy are to eliminate mucosal erythema and ulceration, alleviate symptoms and reduce the risk of oral cancer. We have used review papers, case reports, cohort studies, and case-and-control studies published from 1985 to 2010 to prepare this review of literature.