Characterization of oral lichen planus in a subset of patients: A single-center experience

Introduction: Lichen planus (LP) is a common chronic, mucocutaneous inflammatory disorder with unclear pathophysiology. The aim was to describe the epidemiology and clinicopathological characteristics of oral lichen planus (OLP) patients at King Abdulaziz University Dental Hospital (KAUDH) in Jeddah...

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Main Authors: Azza F Alhelo, Soulafa A Almazrooa, Ghada A Mansour, Sana A Alhamed, Sara Alfarabi, Sara K Akeel, Nada O Binmadi, Nada A Alhindi, Lujain Alsulaimani, Manal A Alamri, Hani H Mawardi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Saudi Journal of Oral Sciences
Subjects:
Online Access:http://www.saudijos.org//article.asp?issn=1658-6816;year=2020;volume=7;issue=3;spage=199;epage=205;aulast=Alhelo
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author Azza F Alhelo
Soulafa A Almazrooa
Ghada A Mansour
Sana A Alhamed
Sara Alfarabi
Sara K Akeel
Nada O Binmadi
Nada A Alhindi
Lujain Alsulaimani
Manal A Alamri
Hani H Mawardi
author_facet Azza F Alhelo
Soulafa A Almazrooa
Ghada A Mansour
Sana A Alhamed
Sara Alfarabi
Sara K Akeel
Nada O Binmadi
Nada A Alhindi
Lujain Alsulaimani
Manal A Alamri
Hani H Mawardi
author_sort Azza F Alhelo
collection DOAJ
description Introduction: Lichen planus (LP) is a common chronic, mucocutaneous inflammatory disorder with unclear pathophysiology. The aim was to describe the epidemiology and clinicopathological characteristics of oral lichen planus (OLP) patients at King Abdulaziz University Dental Hospital (KAUDH) in Jeddah. Materials and Methods: This was a retrospective, chart-review study which included OLP patients previously seen at KAUDH from June 2012 to June 2018. Demographic data, clinical features, management, and outcome were collected and analyzed. Diagnosis of LP was done using clinical criteria with or without histopathologic diagnosis, and the scoring system by Escudier et al. was used. Results: Fifty patients with a mean age of 48 years (range: 21–71) and 2.5:1 female-to-male ratio were included in this study. The most concomitant systemic diseases were diabetes mellitus (30%) and hypertension (26%). Reticular OLP was the most common form (98%), followed by erythematous (66%), ulcerative (26%), and plaque-like type (8%). More than half of the patients were asymptomatic (64%), whereas twenty-two symptomatic patients were managed with either topical steroids, a combination of topical and systemic steroids, and/or intralesional steroid injections with 68% improvement. Conclusion: Based on the current data, clinical features at KAUDH matched what has been previously reported in the literature. In addition, the response to different treatment modalities varied between patients which could be linked to factors such as disease extension and severity.
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spelling doaj.art-6c5d9d6b71be4189a4e833c23d2cab972022-12-21T19:42:57ZengWolters Kluwer Medknow PublicationsSaudi Journal of Oral Sciences1658-68162020-01-017319920510.4103/sjos.SJOralSci_11_20Characterization of oral lichen planus in a subset of patients: A single-center experienceAzza F AlheloSoulafa A AlmazrooaGhada A MansourSana A AlhamedSara AlfarabiSara K AkeelNada O BinmadiNada A AlhindiLujain AlsulaimaniManal A AlamriHani H MawardiIntroduction: Lichen planus (LP) is a common chronic, mucocutaneous inflammatory disorder with unclear pathophysiology. The aim was to describe the epidemiology and clinicopathological characteristics of oral lichen planus (OLP) patients at King Abdulaziz University Dental Hospital (KAUDH) in Jeddah. Materials and Methods: This was a retrospective, chart-review study which included OLP patients previously seen at KAUDH from June 2012 to June 2018. Demographic data, clinical features, management, and outcome were collected and analyzed. Diagnosis of LP was done using clinical criteria with or without histopathologic diagnosis, and the scoring system by Escudier et al. was used. Results: Fifty patients with a mean age of 48 years (range: 21–71) and 2.5:1 female-to-male ratio were included in this study. The most concomitant systemic diseases were diabetes mellitus (30%) and hypertension (26%). Reticular OLP was the most common form (98%), followed by erythematous (66%), ulcerative (26%), and plaque-like type (8%). More than half of the patients were asymptomatic (64%), whereas twenty-two symptomatic patients were managed with either topical steroids, a combination of topical and systemic steroids, and/or intralesional steroid injections with 68% improvement. Conclusion: Based on the current data, clinical features at KAUDH matched what has been previously reported in the literature. In addition, the response to different treatment modalities varied between patients which could be linked to factors such as disease extension and severity.http://www.saudijos.org//article.asp?issn=1658-6816;year=2020;volume=7;issue=3;spage=199;epage=205;aulast=Alhelolichen planuslichen planus characteristicslichen planus treatmentoral lichen planusoral ulcers
spellingShingle Azza F Alhelo
Soulafa A Almazrooa
Ghada A Mansour
Sana A Alhamed
Sara Alfarabi
Sara K Akeel
Nada O Binmadi
Nada A Alhindi
Lujain Alsulaimani
Manal A Alamri
Hani H Mawardi
Characterization of oral lichen planus in a subset of patients: A single-center experience
Saudi Journal of Oral Sciences
lichen planus
lichen planus characteristics
lichen planus treatment
oral lichen planus
oral ulcers
title Characterization of oral lichen planus in a subset of patients: A single-center experience
title_full Characterization of oral lichen planus in a subset of patients: A single-center experience
title_fullStr Characterization of oral lichen planus in a subset of patients: A single-center experience
title_full_unstemmed Characterization of oral lichen planus in a subset of patients: A single-center experience
title_short Characterization of oral lichen planus in a subset of patients: A single-center experience
title_sort characterization of oral lichen planus in a subset of patients a single center experience
topic lichen planus
lichen planus characteristics
lichen planus treatment
oral lichen planus
oral ulcers
url http://www.saudijos.org//article.asp?issn=1658-6816;year=2020;volume=7;issue=3;spage=199;epage=205;aulast=Alhelo
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