Oral lichen planus with cutaneous manifestations: case report with emphasis on dental diagnostic criteria

ABSTRACT Lichen planus is a chronic inflammatory disease involving the skin and mucosa, which often affects the oral cavity. The objective of this study is to report a case of oral lichen planus (OLP) with cutaneous manifestations and to discuss the clinical, histopathological aspects and the establ...

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Main Authors: Rodrigo R. Rodrigues, Juliana C. Pinheiro, Gabriel G. Silva, Carlos Augusto G. Barboza, Rafaella B. Leite
Format: Article
Language:English
Published: Sociedade Brasileira de Patologia Clínica
Series:Jornal Brasileiro de Patologia e Medicina Laboratorial
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442020000100710&lng=en&tlng=en
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author Rodrigo R. Rodrigues
Juliana C. Pinheiro
Gabriel G. Silva
Carlos Augusto G. Barboza
Rafaella B. Leite
author_facet Rodrigo R. Rodrigues
Juliana C. Pinheiro
Gabriel G. Silva
Carlos Augusto G. Barboza
Rafaella B. Leite
author_sort Rodrigo R. Rodrigues
collection DOAJ
description ABSTRACT Lichen planus is a chronic inflammatory disease involving the skin and mucosa, which often affects the oral cavity. The objective of this study is to report a case of oral lichen planus (OLP) with cutaneous manifestations and to discuss the clinical, histopathological aspects and the established treatment. A 61-years-old female white patient was referred for evaluation of white lesions in the oral mucosa. In the intraoral examination, multiple white lesions with striated appearance were observed in the jugal mucosa, tongue and border. The extraoral examination revealed scaly lesions on the arm, white spots on the legs, and nail dystrophy on feet. Based on biopsy of the oral lesions and the histopathological analysis, the diagnosis of OLP was confirmed. The patient underwent treatment with clobetasol propionate topical cream (0.5 mg), and was instructed to apply it to affected area, once or twice a day for four weeks. In the clinical follow-up after one month and 15 days, the improvement of the lesions could be analyzed. As OLP is a disease with an etiopathogenesis that is still poorly recognized, several factors may enable the development of this condition. Therefore, the dentist's clinical view is essential for the most effective treatment.
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spelling doaj.art-f7ff237decf74c5a8824f8a54c78156c2022-12-22T00:16:47ZengSociedade Brasileira de Patologia ClínicaJornal Brasileiro de Patologia e Medicina Laboratorial1676-24441678-47745610.5935/1676-2444.20200030S1676-24442020000100710Oral lichen planus with cutaneous manifestations: case report with emphasis on dental diagnostic criteriaRodrigo R. RodriguesJuliana C. PinheiroGabriel G. SilvaCarlos Augusto G. BarbozaRafaella B. LeiteABSTRACT Lichen planus is a chronic inflammatory disease involving the skin and mucosa, which often affects the oral cavity. The objective of this study is to report a case of oral lichen planus (OLP) with cutaneous manifestations and to discuss the clinical, histopathological aspects and the established treatment. A 61-years-old female white patient was referred for evaluation of white lesions in the oral mucosa. In the intraoral examination, multiple white lesions with striated appearance were observed in the jugal mucosa, tongue and border. The extraoral examination revealed scaly lesions on the arm, white spots on the legs, and nail dystrophy on feet. Based on biopsy of the oral lesions and the histopathological analysis, the diagnosis of OLP was confirmed. The patient underwent treatment with clobetasol propionate topical cream (0.5 mg), and was instructed to apply it to affected area, once or twice a day for four weeks. In the clinical follow-up after one month and 15 days, the improvement of the lesions could be analyzed. As OLP is a disease with an etiopathogenesis that is still poorly recognized, several factors may enable the development of this condition. Therefore, the dentist's clinical view is essential for the most effective treatment.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442020000100710&lng=en&tlng=enliquen plano oralestomatologíamanifestaciones bucalespatología bucal
spellingShingle Rodrigo R. Rodrigues
Juliana C. Pinheiro
Gabriel G. Silva
Carlos Augusto G. Barboza
Rafaella B. Leite
Oral lichen planus with cutaneous manifestations: case report with emphasis on dental diagnostic criteria
Jornal Brasileiro de Patologia e Medicina Laboratorial
liquen plano oral
estomatología
manifestaciones bucales
patología bucal
title Oral lichen planus with cutaneous manifestations: case report with emphasis on dental diagnostic criteria
title_full Oral lichen planus with cutaneous manifestations: case report with emphasis on dental diagnostic criteria
title_fullStr Oral lichen planus with cutaneous manifestations: case report with emphasis on dental diagnostic criteria
title_full_unstemmed Oral lichen planus with cutaneous manifestations: case report with emphasis on dental diagnostic criteria
title_short Oral lichen planus with cutaneous manifestations: case report with emphasis on dental diagnostic criteria
title_sort oral lichen planus with cutaneous manifestations case report with emphasis on dental diagnostic criteria
topic liquen plano oral
estomatología
manifestaciones bucales
patología bucal
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442020000100710&lng=en&tlng=en
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