Isolated lichen planus of the lips: cases reports and literature review

Garma, Maroua; Hasni, Wafa; Annabi, Bechir; Sriha, Badreddine; Boudegga, Souha; Boughzella, Abdellatif

doi:10.1051/mbcb/2020001

Cited by 4 publications

(5 citation statements)

References 14 publications

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“…The age of the patients ranged from 22 to 75 years and the female/male ratio was 0.64. For the case reports [ 2 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ], the mean age was 50.81 years, SD ± 11.26, and for the cases series [ 1 , 34 , 35 , 36 , 37 , 38 , 39 , 40 ] it was 53.50 years, SD ± 16.06. As for the geographical distribution, seventeen reports were from Asia, five from Europe, one from Africa, and one from the USA.…”

Section: Resultsmentioning

confidence: 99%

“…In the analysed studies, the treatment of the lesions consisted of the application of topical corticosteroids [ 1 , 2 , 22 , 23 , 24 , 25 , 28 , 32 , 33 , 34 , 37 , 39 ], immunosuppressive creams [ 30 , 31 , 36 , 40 ], and topical corticosteroids associated with immunosuppressive creams [ 19 , 20 , 27 , 38 ], except one study [ 26 ] where the patient received traditional Chinese medicine.…”

Section: Resultsmentioning

confidence: 99%

“…Lehner et al [ 34 ] reported improvement in twelve patients and no improvement in two patients in their study with twenty-three patients. Garma et al [ 37 ] reported two cases where the male showed remission and the female showed regression and recurrence of the lesions. In the study by Gencoland et al [ 38 ], three of the four patients included in the study showed remission, and one case presented regression and recurrence.…”

Section: Resultsmentioning

confidence: 99%

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Lichen Planus of the Lip—Case Series and Review of the Literature

Marcu (Selaru),

Parlatescu,

Tovaru

et al. 2024

Medicina

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Background and Objectives: Lichen planus of the lip (LPL) is a chronic inflammatory condition that resembles actinic cheilitis, discoid lupus erythematosus, graft-versus-host disease, and lichenoid reaction to dental materials or drugs. The purpose of this study was to conduct a literature review on lichen planus lip involvement and to report a retrospective observational study that characterises and explores the clinical, histopathological, and evolution of the lesions in a group of patients with unique involvement of LPL. Materials and Methods: Clinical data of patients diagnosed with LPL was retrieved from the medical charts of the patients referred to the Oral Pathology Department of the “Carol Davila” University of Medicine and Pharmacy. A concurrent electronic literature research was carried out using PubMed and Web of Science from 2003 to 2023. Results: Eleven patients diagnosed with unique LPL were analysed (male/female ratio was 1.75, mean age 63.64 years ± 12.52). All patients presented lesions of the lower lip; the clinical forms were atrophic (six cases) and erosive (five cases), and the histopathological exam confirmed the diagnosis. After topical treatment with corticosteroids, most of the patients had complete remission. The literature review revealed 24 studies (sixteen case reports and eight case series) which comprised 84 patients. Isolated lip involvement was reported in 17 studies, and five articles with concomitant oral lichen planus, while two articles did not mention this criterion. Conclusions: Our study brings new data on isolated lichen planus of the lip that primarily affects the lower lip with predominance in male patients. It was reported worldwide in patients between 22 and 75 years old. Topical corticosteroids were the main treatment prescribed and they usually brought remission of the lesions. Lichen planus of the lip is a challenging diagnosis for oral health practitioner providers as well as for dermatologists.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Lichen Planus of the Lip—Case Series and Review of the Literature

Marcu (Selaru),

Parlatescu,

Tovaru

et al. 2024

Medicina

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“…Numerous case reports document that patients typically present with the atrophic subtype, with erosions and crusting of the lips [30], more commonly with other intraoral sites being affected as well. Diagnosis is made through histological examination and treated using topical corticosteroids [31]. Oral lichen planus is also a potentially malignant disorder which requires routine monitoring.…”

Section: Oral Lichen Planusmentioning

confidence: 99%

Actinic cheilitis: guidance on monitoring and management in primary care

Shah,

Feng,

Carey

et al. 2023

J Oral Med Oral Surg

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Actinic cheilitis is an oral potentially malignant disorder caused by UV radiation leading to damage to epithelial keratinocytes of the lips. It predominantly affects the vermillion border of the lower lip. Due to its association with chronic UV exposure, associated risk factors include geographic areas, outdoor occupations, and skin subtypes. A high proportion of lip squamous cell carcinomas arise from actinic cheilitis lesions, with histological examination usually showing a degree of dysplasia. This paper aims to review the existing literature regarding the clinical picture of actinic cheilitis, its prevalence, differential diagnoses, and consensus on management, for the education of the general dental practitioner in identifying and surveillance of this lesion.

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“…The most common subtypes of OLP are reticular, erosive/ulcerative, and plaque-like [ 7 , 8 ]. The risk factors of OLP are genetic, viral infections, psychological stress, trauma, and the association of systemic diseases that often be one of the complaints in OLP patients [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

A Case Series of Psychological Stress Evaluation as a Risk Factor for Oral Lichen Planus

Sufiawati

Megawati

Farisyi³

et al. 2022

Case Reports in Dentistry

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Introduction. Oral lichen planus (OLP) is a chronic inflammatory disease of the oral mucosa with unknown etiology. Suggested predisposing factors for the development of OLP include genetic factors, viral infections, psychological stress, trauma, drug intake, and some systemic diseases. This serial case aimed to evaluate the psychological stress in triggering various types of OLP and its management. Case Report. Six patients, four females and two males with an age range from 23 to 57 years, came to an oral medicine clinic with chief complaints of chronic pain and burning sensations in the oral cavity. All cases showed typical clinical features of OLP on the oral mucosa, including reticular, plaque-like, erosive, and ulcerative lesions. An incisional biopsy was performed in some cases and the histopathology features confirmed the diagnosis of OLP with no signs of dysplasia/malignancy. According to the Depression, Anxiety, Stress Scale (DASS)-21, the patients had different levels of depression ranging from mild to severe; 3 patients were considered to have moderate anxiety and others had severe anxiety; and 5 patients experienced mild stress and 1 patient had moderate stress. The patients were given corticosteroids, supportive therapy, and psychological counseling. All patients experienced significant improvement of the lesions after treatment. Conclusion. Psychological stressors play an essential role as a risk factor in the development of OLP. Therefore, management of OLP encompasses not only an appropriate treatment of the lesions but also psychological intervention.

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Isolated lichen planus of the lips: cases reports and literature review

Cited by 4 publications

References 14 publications

Lichen Planus of the Lip—Case Series and Review of the Literature

Lichen Planus of the Lip—Case Series and Review of the Literature

Actinic cheilitis: guidance on monitoring and management in primary care

A Case Series of Psychological Stress Evaluation as a Risk Factor for Oral Lichen Planus

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