Isolated lichen planus of the lip

Cecchi, Roberto; Giomi, Andrea

doi:10.1046/j.1440-0960.2002.00619.x

Cited by 17 publications

(21 citation statements)

References 8 publications

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“…Corticosteroids are the most used agents, by topic, systemic and intra-lesion administration with varying results (11)(12)(13)(14)(15)(16) of squamous cell carcinoma on the lips has been documented in 16% of all cases with malignant progression of the diseases (20). To date, none of our patients have developed a lip squamous cell carcinoma.…”

Section: Discussionmentioning

confidence: 91%

Isolated Lichen Planus of the Lip

Petruzzi

Benedittis

Pastore

et al. 2007

Int J Immunopathol Pharmacol

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Oral lichen planus (OLP) is a relatively common disorder whose cause is still unknown. It occurs mostly on the buccal mucosa, but the gingivae, tongue, floor of the mouth and retromalar pads may also be affected. It rarely occurs on the lips and usually in association with oral lesions. We report a case series of ten patients with a history of isolated swelling of the lower and/or upper lip, erosions and crusting. General medical history, examination of the oral cavity and recording of signs and symptoms were carried out for each patient. Among the six different clinical variants of OLP described by Andreasen, the atrophic-erosive form was the most common in the course of isolated LP of the lip in our series. Five cases presented HCV hepatitis. A complete remission of lesions was observed in eight patients after topical treatment with clobetasol propionate 0.05% and tocopherol oil, while partial improvement was noted in those remaining. Isolated LP of the lip is unusual and presents a diagnostic challenge, however an appropriate differential diagnosis is fundamental. Lesions of the lips might represent a more or less precocious phase of oral involvement. Moreover the reasons for the unique localization on the lips need to be explored. Several variables, including age, duration of lesions, concomitance of other diseases, and genetic predisposition may be involved. Isolated LP of the lip is a well-known condition which responds well to topical treatment with corticosteroids. A thorough medical management and active early treatment are necessary to improve symptoms and might also be a relevant prevention strategy from squamous cell carcinoma risk, although data to fully support this statement still need investigation.

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Section: Discussionmentioning

confidence: 91%

Isolated Lichen Planus of the Lip

Petruzzi

Benedittis

Pastore

et al. 2007

Int J Immunopathol Pharmacol

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“…10,11 Oral liken planusun (OLP) yaş ortalaması 49 yıl olup daha çok kadın-larda görülmekte, bazen dudakları da etkileyebilmektedir. 12,13 Anguler şelitis ve oral kandidiyazis hareketli protez kullanımı, pernisiyöz anemi, HIV enfeksiyonu gibi sistemik hastalıklar ile beraber seyredebilmektedir. Yukarıda sayılan hastalıkların belirti ve bulguları genellikle kış mevsiminde daha da kötüleşmektedir ki yaz aylarında kötüleşen veya ortaya çıkan AŞ'den bu sayede ayrılabilmektedir.…”

Section: Resi̇munclassified

Actinic Chelitis: Diaognosis, Treatments, Prevention

Aydoğdu¹,

Sivri²,

Efeoğlu³

et al. 2016

Turkiye Klinikleri J Dental Sci Cases

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Aktinik Şelitis: Tanı, Tedavi, Korunma Ö ÖZ ZE ET T Aktinik şelitis, aynı zamanda eksfolyatif şelitis, solar şeliozis ve dudakların aktinik keratozu olarak da bilinen, skuamoz hücreli karsinom geliştirme potansiyeli olan, dudağın premalign bir lezyonudur. Klinik olarak, dudakta kuruma, pullanma, ülsere ve atrofik alanları içeren, vermilyon deri hattında silikleşme ile karakterize bir lezyondur. Güneşin aktinik etkilerine maruz kalan açık tenli bireylerde daha sık rastlanmaktadır. AŞ tedavisi; periyodik muayeneler alana ve lezyona yönelik tedavi, güneşten korunma ve hasta eğitimi başlıkları altında incelenen cerrahi ve medikal tedavileri içermek-tedir. Bu çalışmada, alt dudağında iyileşmeyen yara şikâyetiyle kliniğimize başvuran, 68 yaşında, beyaz tenli, bir kadın olgunun tanı, tedavi ve postoperatif izlem süreci güncel literatür ışığında tartışılmıştır.A An na ah ht ta ar r K Ke el li im me el le er r: : Aktinik şelitis; cerrahi, oral A AB BS ST TR RA AC CT T Actinic cheilitis is a premalignant lesion that has a potential to transform into squamous cell carcinoma and is also named as solar cheliosis or actinic cheilitis of the lips. Clinically dried, scaly lips; atrophic, ulcerative areas on vermillion and loss of vermillion skin border are typical characteristics. It is common among caucasians who are exposed to actinic effects of sun. Treatment includes surgical and medical modalities that can be summarised as, regular reviews, treatment targeting the lesion and the surrounding tissues, protection from UV rays and patient education. This case report aims to discuss diagnosis, treatment and post-operative review process of a 68 years old caucasian lady who complained of an unhealing ulcer on her lower lip in the light of current literature.

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“…A Pubmed search using the keywords "lichen planus lip", "lichen planus lips", or "lichen planus labial", leads us almost entirely into articles only briefly citing this particular presentation of LP, besides a few single case reports [3][4][5][6][7][8][9][10]. There is only one series reporting on ten patients [11].…”

Section: General Aspectsmentioning

confidence: 99%

“…Potent topical corticosteroids are the first line therapy. Clobetasol propionate, betamethasone, or triamcinolone, are more commonly used [5,7,11]. A good approach is to decrease steroid potency as lesions improve.…”

Section: Treatmentmentioning

confidence: 99%

Lichen Planus Affecting the Lips

Fern¹,

es²,

Lourenço³

2015

Clin Exp Dermatol Res

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Lichen planus frequently compromises the skin, and the oral mucosa. There is plenty of medical and dental literature about the cutaneous and mucosal lesions of lichen planus, but, comparatively very little has been written specifically about lichen planus compromising the lip vermilion. This structure has a peculiar anatomical and histological architecture, and lichen planus lesions at this site may have some distinct features. This article reviews the recent literature about labial lichen planus in all of its presentations, highlighting some special clinical features that may enable a better diagnosis and differential diagnosis of lip diseases. Besides, personal experience by the authors is added.

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Isolated lichen planus of the lip

Cited by 17 publications

References 8 publications

Isolated Lichen Planus of the Lip

Isolated Lichen Planus of the Lip

Actinic Chelitis: Diaognosis, Treatments, Prevention

Lichen Planus Affecting the Lips

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