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 74
- Downloads 0
Deciduous teeth stem cells, promising source of stem cells: narrative literature review
Among the most progressive types of medical-scientific research, the study with stem cells stands out. Stem cell therapy has emerged as an innovative model in the treatment of diseases and injuries, presenting numerous a...
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,...
The importance of the nurse in the interpretation of electrocardiogram: Quality care
The electrocardiogram is one of the safest methods to assess heart functionality, because it allows the identification of cardiovascular diseases, changes in coronary flow, as well as cardiac rhythm and conduction abnorm...
Challenging and successful conduct in dentoalveolar trauma: case report
The dentoalveolar trauma it is a frequent adversity to the heathy system, and it needs an early diagnosis and intervention. The severity of those lesions can diversify according to its classification, that goes from a si...
Evaluation of hepatic profile, food consumption and alcohol in university students
Hepatic steatosis is a condition that affects the liver by increasing the visceral fat causing hepatic damage. The disease development might be associated with sedentary lifestyle; unhealthy eating habits; as well as use...