Clinical diagnosis and conservative treatment of reticular and erosive oral lichen planus: clinical case report
Journal Title: Revista Uningá - Year 2021, Vol 58, Issue 1
Abstract
Oral lichen planus is an autoimmune pathology with predilection between the fourth and sixth decades of life, for females and leukoderms. This pathogenesis is uncertain, but it may be related to chronic liver disease, stress, hormonal disorders, etc. Its main forms of presentation are: reticular and erosive. The aim of this article is to report the case of a patient with reticular and erosive lichen planus in the oral cavity whose history and clinical aspects were crucial for the diagnosis and treatment. This is a case report of a male, 60 years old, leucoderma, who sought care referring burning in the cheek and gum when drinking wine and using vinegar, had gone through several professionals and multiple treatments without diagnosis or improvement of symptoms. In medical history, liver disease and chronic thrombocytopenia were reported. On physical examination, atrophic jugal mucosa was noted, with areas of ulceration and bilateral erosion, with the presence of reticular aspect white striae, whitish plaques on the lingual dorsum and striated crustal areas in the upper lip mucosa. In the clinical setting, 0.05% clobetasol propionate was prescribed and additional tests were requested (complete blood count, blood glucose, VSG, folic acid, B12, serum iron, TSH and anti-HCV). After 14 days, complete remission of the lesions and painful symptomatology were observed; no noteworthy alterations were observed in the complementary exams. Thus, the patient will follow periodic follow-up and upon relapse will resume corticosteroid therapy, and in the event of new abnormal clinical findings, incisional biopsy will be indicated.
Authors and Affiliations
Jeniffer Degasperi, Letícia de Freitas Cuba Guerra.
Keywords
Related Articles
- EP ID EP712690
- DOI doi.org/10.46311/2318-0579.58.eUJ3427
- Views 73
- Downloads 0
Effects of aquatic therapy on gait and balance in patients with brain vascular accident: a literature review
Stroke is one of the leading causes of death and physical disabilities in Brazil and worldwide. Being caused by an interruption of vascular cerebral flow, it is able to lead the individual to death or generate functional...
Oral manifestations arising from antineoplastic therapy in child oncological patients
In Brazil, cancer is the leading cause of death from illness in children and adolescents. The National Cancer Institute (INCA) estimates the occurrence of 8,460 new cases of cancer in children and adolescents in 2020. Th...
Infertility: A public health problem
Form a family it is still a current thinking of society. However, for those who wish to increase progeny through gestation, can have this desire interrupted by infertility and promote an overwhelming shock. In this way,...
Influence of brightness and contrast adjustment on the detection of soft tissue calcifications in panoramic radiographs
The aim of this study was to assess how changes in the adjustment of brightness and contrast settings affect the detection of calcifications in the soft tissues of the head and neck region on panoramic radiographs (PRs),...
Crown-root fracture in deciduous dentition with late treatment: a clinical case report
Traumatic dental-injuries are a common dental emergency, being the crown-root fracture a rare kind of trauma, which represents only 2.5% of all dental traumas. In the deciduous dentition, the prevalence of dental trauma...