Oral lichen planus: two case reports in male patients

Abstract

Purpose: Lichen planus is a chronic systemic disease that commonly involves the mucosa of the oral cavity, most often in the absence of skin lesions. Although relatively frequent, oral lichen planus is the target of much controversy, mainly in relation to its pathogenesis and possible potential for malignancy. Thus, the objective of this paper is to report two cases of lichen planus in male patients and to discuss the main aspects of this disease in relation to etiopathogenesis and treatment. Case description: Physical and histopathological examinations were carried out to confirm the diagnosis of oral lichen planus. An elixir of dexamethasone was prescribed in the first case, and in the second case, topical 0.05% clobetasol propionate was prescribed. After fifteen days, both patients presented regression of the lesion. Conclusion: Although the occurrence of oral lichen planus is common, an accurate diagnosis is necessary so that the correct treatment can be established.

Lichen planus of lip – Report of a rare case with review of literature

“…As LP is an inflammatory condition prone for recurrence, and therefore, surgical excision is not considered as the first-choice treatment of LP. [20]…”

Immunohistochemical Expression of Syndecan-1 in Erosive Lichen Planus, Epithelial Dysplasia and Oral Squamous Cell Carcinoma

“…The white lesions are not painful, but the erosions and ulcers are usually painful. 2 It might be controversial for pathologists to evaluate the risk of malignant transformation in lichen planus. Although DOI: http://dx.doi.org/10.22192/ijcrcps.2017.04.06.013 some of these lesions, especially erosive type are considered to be premalignant lesion, others suggest that it more display molecular pathogenesis of epithelial rather than dysplastic epithelium.…”

Oral lichen planus – case report

“…Classically, OLP distribution is symmetrical, with well-defined white striations on a slightly erythematous background that frequently involves the tongue, and buccal mucosa. Some other clinical studies reported different type of lesions: bullous-like, papular, erosive, and atrophic [ 8 ]. The differential diagnosis includes drug-related lichenoid eruptions, lichenoid lesions caused by the contact with restorative dental materials, leukoplakia, lupus erythematous [ 9 ].…”