Oral lichen planus and HPV lesions

A 42 years old male patient went to our observation for a white lesion in the left cheek presented 5 months ago. He reported general good health, a previous diagnosis of genital lichen planus. During the clinical examination we observed a white not scrapable lesion of 3 cm in the left cheek and 2 sm...

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Main Authors: Cinzia Casu, Luca Viganò
Format: Article
Language:English
Published: The Pan African Medical Journal 2018-01-01
Series:The Pan African Medical Journal
Subjects:
Online Access: https://www.panafrican-med-journal.com/content/article/29/74/pdf/74.pdf
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author Cinzia Casu
Luca Viganò
author_facet Cinzia Casu
Luca Viganò
author_sort Cinzia Casu
collection DOAJ
description A 42 years old male patient went to our observation for a white lesion in the left cheek presented 5 months ago. He reported general good health, a previous diagnosis of genital lichen planus. During the clinical examination we observed a white not scrapable lesion of 3 cm in the left cheek and 2 small esophitic lesions in the gingival tissue near the retromolar trigone, with cauliflower shape. The lesions is not linked with a traumatic event and we decided to make an incisional biopsy and 2 excisional biopsies for esophitic lesions on the gingiva, with a temporary diagnosis of leukoplakia and HPV squamous papilloma. The histological examination confirms instead the presence of an oral plaque lichen planus, without signs of dysplasia and the presence of 2 squamous papillomas on the tissue removed in the gingival. It is the first documented case in literature of an oral lichen planus which occurs many years after genital lesions, rare in a male subject. In addition, the simultaneous presence of HPV lesions in the same oral anatomic region is particular. Treatment includes topical therapy with podophyllin for HPV lesions or surgical excision and medical treatment of lichen planus with topical cortisones, immunosuppressants or aloe vera-based gels.
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spelling doaj.art-05e730c977e64115a983684f9d21b7d32022-12-22T00:15:18ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882018-01-01297410.11604/pamj.2018.29.74.1454614546Oral lichen planus and HPV lesionsCinzia Casu0Luca Viganò1 Private Dental Practice, Cagliari, Italy University of Milan, Department of Radiology, Milano, Italy A 42 years old male patient went to our observation for a white lesion in the left cheek presented 5 months ago. He reported general good health, a previous diagnosis of genital lichen planus. During the clinical examination we observed a white not scrapable lesion of 3 cm in the left cheek and 2 small esophitic lesions in the gingival tissue near the retromolar trigone, with cauliflower shape. The lesions is not linked with a traumatic event and we decided to make an incisional biopsy and 2 excisional biopsies for esophitic lesions on the gingiva, with a temporary diagnosis of leukoplakia and HPV squamous papilloma. The histological examination confirms instead the presence of an oral plaque lichen planus, without signs of dysplasia and the presence of 2 squamous papillomas on the tissue removed in the gingival. It is the first documented case in literature of an oral lichen planus which occurs many years after genital lesions, rare in a male subject. In addition, the simultaneous presence of HPV lesions in the same oral anatomic region is particular. Treatment includes topical therapy with podophyllin for HPV lesions or surgical excision and medical treatment of lichen planus with topical cortisones, immunosuppressants or aloe vera-based gels. https://www.panafrican-med-journal.com/content/article/29/74/pdf/74.pdf oral lichen planusoral hpv lesionsoral leucoplakia
spellingShingle Cinzia Casu
Luca Viganò
Oral lichen planus and HPV lesions
The Pan African Medical Journal
oral lichen planus
oral hpv lesions
oral leucoplakia
title Oral lichen planus and HPV lesions
title_full Oral lichen planus and HPV lesions
title_fullStr Oral lichen planus and HPV lesions
title_full_unstemmed Oral lichen planus and HPV lesions
title_short Oral lichen planus and HPV lesions
title_sort oral lichen planus and hpv lesions
topic oral lichen planus
oral hpv lesions
oral leucoplakia
url https://www.panafrican-med-journal.com/content/article/29/74/pdf/74.pdf
work_keys_str_mv AT cinziacasu orallichenplanusandhpvlesions
AT lucavigano orallichenplanusandhpvlesions