1981
DOI: 10.1001/archderm.117.3.140
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Lichen planus-like lesions caused by penicillamine in primary biliary cirrhosis

Abstract: Six patients with primary biliary cirrhosis experienced lichen planus-like lesions while taking penicillamine. Oral lesions developed in all patients, and the lichenoid lesions also appeared elsewhere in two patients. Lichen planus-like lesions developed from four to 16 months after penicillamine therapy had been started, and, in four cases, they resolved in one to three months after use of the drug was stopped. Two patients have continued using penicillamine despite adverse cutaneous and mucosal reactions and… Show more

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Cited by 34 publications
(19 citation statements)
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“…The observation of co-existing liver disease in 5 patients referred from our hepatology clinic is interesting. Various other reported associations include LP occuring with primary biliary cirrhosis, chronic active hepatitis, primary sclerosing cholangitis, Wilson's disease, hemochromatosis, and alpha-I-antitrypsin deficiency (14,15,31,32).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The observation of co-existing liver disease in 5 patients referred from our hepatology clinic is interesting. Various other reported associations include LP occuring with primary biliary cirrhosis, chronic active hepatitis, primary sclerosing cholangitis, Wilson's disease, hemochromatosis, and alpha-I-antitrypsin deficiency (14,15,31,32).…”
Section: Discussionmentioning
confidence: 99%
“…After the initial studies in the early twentieth century (6,7); subsequent ones have been few and far between (8)(9)(10)(11). Various attempts to associate LP with a variety of systemic maladies, as well as with a number of immune-related diseases (12)(13)(14)(15), have been primarily anecdotal. In view of the paucity of related literature we present in this communication the pattern of LP we observed in patients attending the dermatology out-patient department of our hospital in North India.…”
Section: Introductionmentioning
confidence: 99%
“…In Japan, the rate of HCV infection in OLP is especially high (3). On the other hand, the association between lichen planus and primary biliary cirrhosis (PBC) been reported rarely since Seehafer et al pointed it out in 1981 (4). PBC is a chronic cholestatic liver disease of adults.…”
Section: Introductionmentioning
confidence: 99%
“…These include non-steroidal anti-inflammatory drugs [4], allopurinol [5], methyldopa [6], gold salts [7], angiotensin-converting enzyme inhibitors [8], sulphamethoxazole [9]and penicillamine [10]. Drug-induced lichen planus of the oral mucosa may be clinically indistinguishable from idiopathic lichen planus, making differentiation between these two entities difficult.…”
Section: Introductionmentioning
confidence: 99%