A probable surge in oral lichen planus cases under the aura of coronavirus in females in India

Routray, Samapika; Mishra, Priyadarshini

doi:10.1016/j.oraloncology.2020.104714

Cited by 13 publications

(10 citation statements)

References 9 publications

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“…There are articles in the literature reporting a possible association of lichen planus and herpes zoster with COVID-19. 25,26 Although it is difficult to reach conclusive results with relatively limited data, these cutaneous lesions may have an association with COVID-19.…”

Section: Discussionmentioning

confidence: 99%

“…Interestingly, higher rates of cicatricial hair loss, lichen planus, and herpes simplex infection were observed in the present study. There are articles in the literature reporting a possible association of lichen planus and herpes zoster with COVID‐19 25,26 . Although it is difficult to reach conclusive results with relatively limited data, these cutaneous lesions may have an association with COVID‐19.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Changing trends in dermatology practice during COVID ‐19 pandemic: A single tertiary center experience

Tanacan

Saraç

Emeksiz

et al. 2020

Dermatologic Therapy

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Objective To evaluate the changing trends in dermatology clinical practice at a tertiary center during the coronavirus disease 2019 (COVID‐19) pandemic. Method This retrospective cohort study was conducted on patients who were admitted to Ufuk University Hospital with dermatologic complaints/diseases before and during the pandemic. The patients were divided into two groups: 1) the Pre‐pandemic period (March‐May 2019) and 2) the Pandemic period (March‐May 2020). Demographic features, clinical characteristics, dermatologic diseases/complaints, dermatologic procedures/interventions, hospitalization rate, and use of biologic agents were compared between the two groups. Results Total number of hospital admissions have decreased from 1165 to 717. Admission rates for acne, dermatophytosis, and benign neoplasm of the skin significantly lower during the pandemic period (p values were 0.02, 0.04, and 0.006, respectively). Contact dermatitis, acne accompanying dermatitis, cicatricial hair loss, lichen planus, and zona zoster infection rates were significantly higher (p values were 0.007, <0.001, 0.009, 0.04 and 0.03, respectively). Rates of biopsy and electrocautery procedures were decreased significantly (p values were <0.001 and 0.002, respectively). The hospitalization rate was similar between the groups (p=0.51). However, the use of biologic agents significantly decreased during the pandemic period (p=0.01). Conclusion Updated clinical protocols should be established for the new normal period in accordance with these findings. This article is protected by copyright. All rights reserved.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Changing trends in dermatology practice during COVID ‐19 pandemic: A single tertiary center experience

Tanacan

Saraç

Emeksiz

et al. 2020

Dermatologic Therapy

View full text Add to dashboard Cite

show abstract

“…In addition, the COVID-19 pandemic is a current factor that has seriously affected mental health worldwide [ 57 ]. As people deal with quarantine, isolation, and travel restrictions, fear and chaos become evident and include fear of losing beloved ones, fear of losing sustenance, and phobia of contracting the SARS-CoV-2 infection, all of which impact mental health and quality of life of the subjects [ 56 , 58 , 59 ]. For patients with autoimmune disorders, COVID-19-related anxiety can lead to exacerbations of the disease [ 60 ].…”

Section: Discussionmentioning

confidence: 99%

Photobiomodulation of gingival lesions resulting from autoimmune diseases: systematic review and meta-analysis

et al. 2022

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Objectives To evaluate the effects of photobiomodulation (PBM) in gingival lesions resulting from autoimmune diseases; to compare PBM and topical corticosteroid (CS) treatment; and to assess PBM outcome over time of follow-up. Materials and methods A comprehensive electronic search was performed in four electronic databases. Treatment effects were measured through visual analog scale of pain (VAS) and clinical evolution of lesion (Thongprasom scale for oral lichen planus (OLP)). Meta-analysis was performed to compare PBM with topical corticosteroid treatment and to evaluate PBM effect over time of follow-up. Results Seventeen studies were included in this review, of which six were used for the meta-analysis. Meta-analysis results showed no significant differences between PBM and topical CS in pain reduction at baseline (MD = 0.20, 95% CI = − 0.92, 1.32, p = 0.72) and 60-day follow-up (MD = 0.63, 95% CI = − 3.93, 5.19, p = 0.79); however, VAS showed significant pain reduction when compared before and after PBM at 30-day (MD = − 3.52, 95% CI = − 5.40, − 1.64, p = 0.0002) and 60-day (MD = − 5.04, 95% CI = − 5.86, − 4.22, p < 0.00001) follow-up. Thongprasom clinical scale for OLP also showed significant improvement at 30-day follow-up (MD = − 2.50, 95% CI = − 2.92, − 2.08, p < 0.00001) after PBM. Conclusion PBM led to significant reduction of pain and clinical scores of the lesions, not having shown significant differences when compared to topical CS. Clinical relevance PBM has been used in the treatment of autoimmune gingival lesions, but so far there is little strong evidence to support its use.

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“…Routray et al has also predicted an increase in OLP in Indian females over 40 years particularly of lower socioeconomic strata due to the increased psychological stress induced via country wide lockdowns, lose of livelihood, lose of loved ones, etc. [66] …”

Section: Discussion and Consequences Of The Hypothesismentioning

confidence: 99%

Rise and exacerbation of oral lichen planus in the background of SARS-CoV-2 infection

et al. 2021

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Oral Lichen Planus (OLP) is a chronic inflammatory disorder whose exact etiology remains unknown. Inflammatory mediators, cytotoxic CD8+ T cells and mast cells have been hypothesized to mediate the pathogenesis of OLP. COVID-19 pandemic caused by SARS-CoV-2 is marked by cytokine storms in the affected patients. Altered T-cell responses marked by exhaustion of T-cell count with hyperaggressive remaining T-cells and presence of cross-reactive antibodies render infected humans as fertile grounds for development of multisystem disorders. In addition, Vitamin D deficiency in COVID-19 patients can further modify the T cell mediated immunity. Increased circulating cytokines and hyperactive CD8+ T cells can alter the oral immune barriers rendering them susceptible to oral disorders. Due to the widespread immune dysregulation, it is possible that patients of COVID-19 may develop OLP in the aftermath or during recovery. The paper explores the pathogenic mechanism behind development OLP as post-COVID condition on account of their target receptor, T-cell responses, cytokine profile, mucosal immune barriers and nutrition deficiency.

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A probable surge in oral lichen planus cases under the aura of coronavirus in females in India

Abstract: Oral Oncology xxx (xxxx) xxxx 1368-8375/

Cited by 13 publications

References 9 publications

Changing trends in dermatology practice during COVID ‐19 pandemic: A single tertiary center experience

Changing trends in dermatology practice during COVID ‐19 pandemic: A single tertiary center experience

Photobiomodulation of gingival lesions resulting from autoimmune diseases: systematic review and meta-analysis

Rise and exacerbation of oral lichen planus in the background of SARS-CoV-2 infection

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