The role of patch testing in the management of oral lichenoid reactions

Suter, Valérie G.A.; Warnakulasuriya, Saman

doi:10.1111/jop.12328

Cited by 45 publications

(39 citation statements)

References 32 publications

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“…OLRs also occur in betel-quid chewers at the site of placement of betel quid (Figure 9). The diagnosis of OLPs/OLLs/OLRs is mostly based on the combined findings from history; clinical examination; a skin patch test, when indicated 20 ; and microscopy. In cases of OLLs/OLRs suspected to be drug induced, the history of any correlation between the start of medication intake and first symptoms may also be informative, even though reactions can occur several weeks or months after the prescription.…”

Section: Oral Lichenoid Lesionsmentioning

confidence: 99%

Clinical features and presentation of oral potentially malignant disorders

Warnakulasuriya

2018

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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215

177

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Oral potentially malignant disorders (OPMDs) are conditions that precede the onset of invasive cancers of the oral cavity. The term embraces precancerous lesions and conditions referred to in earlier World Health Organization (WHO) definitions. Leukoplakia is the most common OPMD; erythroplakia, although rare, is more serious. Several variants of leukoplakia are recognized, and clinical subtyping may help determine the prognosis to a limited extent. Biopsy is essential to confirm the provisional clinical diagnosis, and timely referral to a specialist is indicated. Certain OPMDs, such as oral submucous fibrosis, are encountered particularly in population groups from Asia with specific lifestyle habits. This review provides clinical descriptions of the wide range of potentially malignant disorders encountered in the oral cavity as a prelude to the topics discussed in this focus issue.

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Section: Oral Lichenoid Lesionsmentioning

confidence: 99%

Clinical features and presentation of oral potentially malignant disorders

Warnakulasuriya

2018

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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215

177

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“…In terms of general dental materials, positive patch testing results in OLP patients vary from 60 to 80 % [3,14]. Mercury is highly allergenic and often present in dental amalgams.…”

Section: Oral Lichen Planus and Oral Lichenoid Lesionsmentioning

confidence: 97%

“…There is a body of research on the clinical results of OLP patients following dental amalgam removal and its association with patch testing [14,17,[20][21][22][23][24][25]. A systematic review of 14 cohort and five case-controlled trials of patients with OLP demonstrated that after dental amalgam replacement, between 35 and 100 % of patients had complete disease resolution.…”

Section: Oral Lichen Planus and Oral Lichenoid Lesionsmentioning

confidence: 98%

Mucosal Lesions in an Allergy Practice

Kohorst

Bruce

Torgerson

2016

Curr Allergy Asthma Rep

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The diagnosis and treatment of mucosal disease with an allergic pathogenesis are challenging. Oral allergy is often a hypersensitivity reaction with variable symptoms and physical exam findings. Clinical diagnosis requires a history of prior allergen exposure, a delay from exposure to clinical findings, and improvement following allergen removal. The past decades have seen great contributions to the field of oral allergy. The aim of this review is to provide an approach to the diagnosis and treatment of oral dermatologic disease with a focus on diseases with an investigated allergic pathogenesis.

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“…They are commonly unilateral and erythematous and histopathological examination shows more diffuse lymphocytic infiltrate with eosinophils and plasma cells and with more colloid bodies than in classic OLP; on the other hand, to the best of our knowledge there is no study published which has demonstrated accurate histopathological features to distinguish between OLP and OLCR lesions (5,9). Skin patch testing against dental restorative materials helps to distinguish patients with OLCR, and after removal of these causative materials, the majority of lesions may resolve within several months (8,10).…”

Section: Introductionmentioning

confidence: 99%