Abstract
Oral Lichen Planus (OLP) is a common chronic immunological inflammatory mucocutaneous disorder that varies in appearance from keratotic (reticular or plaque like) to erythmatous and ulcerative. The erosive form of OLP manifests as a mixture of erythematous and ulcerated areas bounded by finely radiating keratotic striaeTreatment should be directed at achieving specific goals after considering the degree of clinical involvement, Reticular lesions that are asymptomatic generally require no therapy. All treatment should be aimed at eliminating atrophic and ulcerative lesions, alleviating symptoms, and potentially decreasing the risk of malignant transformation. Relief of painful symptoms can be obtained with mid potency topical corticosteroids. Systemic corticosteroids are, usually reserved for cases where topical approaches have failed, where there is recalcitrant, erosive, or erythematous OLP, or for widespread OLP when skin, genitals, esophagus, or scalp are also involved.
Highlights
Oral Lichen Planus (OLP) is a common chronic immunological inflammatory mucocutaneous disorder that varies in appearance from keratotic to erythmatous and ulcerative
Unlike the keratotic variants such as reticular and plaque type lesion, Erosive Oral Lichen Planus (EOLP) presents with symptom ranging from intermittent mild pain to severe discomfort and carries an increased risk of malignant transformation. 3,4
When lichen Planus involves scalp it is associated with Grahamlittle syndrome, with Nail it is associated with Onychorrhexis
Summary
Oral Lichen Planus (OLP) is a common chronic immunological inflammatory mucocutaneous disorder that varies in appearance from keratotic (reticular or plaque like) to erythmatous and ulcerative. A 50 years old female, patient reported to the department of Oral Medicine and Radiology with a chief complaint of bleeding from gums and a reddish white patch in the mouth since [5,6] months. She noticed a reddish white patch in left buccal mucosa with a history of intense burning sensation while eating spicy food. Tab Prednisolone (20mg) swish and throw along with the topical application of Clobetsaol (0.05%) three to four times in a day cream for 15 days was given patient reported thereafter for follow up (Figures 4 and 5)
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