Abstract
A 65-year-old woman sought treatment for pain in the buccal mucosa, with lesions that appeared and disappeared spontaneously. The patient reported having controlled hypertension and being a social drinker and former smoker. No cervical lymphadenopathy or mucocutaneous alterations were present, and icterus eyes were noted. On intraoral examination, painful nonremovable bilateral white striated and reticulated lesions were observed in the buccal mucosa. Therefore, the diagnosis was oral lichen planus (OLP). Blood count, blood glucose, Serum glutamic-oxalacetic transaminase (SGOT), serum glutamic pyruvic transaminase (SGPT) and hepatite C virus anti-(HCV) exams were requested. Anti-HCV was positive for hepatitis C. Oral lesions were treated with clobetasol propionate mouthwash, with total remission of the lesions. The patient was referred for medical treatment and follow-up. Because OLP is usually observed in patients with hepatitis C infection, considering the effect of persistent systemic inflammation and immune activation, it is important to diagnose correctly to establish treatment and improve the patient's quality of life. A 65-year-old woman sought treatment for pain in the buccal mucosa, with lesions that appeared and disappeared spontaneously. The patient reported having controlled hypertension and being a social drinker and former smoker. No cervical lymphadenopathy or mucocutaneous alterations were present, and icterus eyes were noted. On intraoral examination, painful nonremovable bilateral white striated and reticulated lesions were observed in the buccal mucosa. Therefore, the diagnosis was oral lichen planus (OLP). Blood count, blood glucose, Serum glutamic-oxalacetic transaminase (SGOT), serum glutamic pyruvic transaminase (SGPT) and hepatite C virus anti-(HCV) exams were requested. Anti-HCV was positive for hepatitis C. Oral lesions were treated with clobetasol propionate mouthwash, with total remission of the lesions. The patient was referred for medical treatment and follow-up. Because OLP is usually observed in patients with hepatitis C infection, considering the effect of persistent systemic inflammation and immune activation, it is important to diagnose correctly to establish treatment and improve the patient's quality of life.
Published Version
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