Cutaneous, genital and oral lichen planusa descriptive study of 274 patients

  1. Juliana Cassol-Spanemberg 1
  2. Andrés Blanco Carrión 2
  3. Ma. Eugenia Rodríguez de Rivera Campillo 3
  4. Albert Estrugo Devesa 4
  5. Enric Jané Salas 1
  6. José López López 5
  1. 1 PhD. Postdoctoral Research Fellow. Specialist in Stomatology and Public Health. School of Dentistry, University of Barcelona, Spain
  2. 2 MD, DDS, PhD. Professor of Oral Pathology, School of Dentistry, University of Santiago de Compostela, Spain
  3. 3 MD, DDS, PhD, Dermatologist and Dentist. Professor of Oral Pathology, School of Dentistry, University of Barcelona, Spain
  4. 4 MD, DDS, PhD. Doctor, Specialist in Stomatology. Professor of Oral Pathology, School of Dentistry, University of Barcelona, Spain / Oral Health and Masticatory System Group (Bellvitge Biomedical Research Institute) IDIBELL, University of Barcelona, Spain
  5. 5 MD, DDS, PhD. Doctor, Specialist in Stomatology. Professor of Oral Pathology, School of Dentistry and Director of Dental Surgery, University of Barcelona. Oral Health and Masticatory System Group (Bellvitge Biomedical Research Institute) IDIBELL, University of Barcelona, Spain
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Revista:
Medicina oral, patología oral y cirugía bucal. Ed. inglesa

ISSN: 1698-6946

Ano de publicación: 2019

Volume: 24

Número: 1

Páxinas: 1

Tipo: Artigo

DOI: 10.4317/MEDORAL.22656 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Medicina oral, patología oral y cirugía bucal. Ed. inglesa

Resumo

Lichen planus (LP) is a chronic autoimmune disease that affects the oral mucosa as well as the skin, genital mucosa and other sites. Objective: to evaluate the correlation between oral, genital and cutaneous lichen planus, in a sample of LP patients. This descriptive study reviewed 274 clinical histories of patients, who all presented histological confirmation of lichen planus verified by a pathologist, attending research centers in Barcelona. A total of 40 LP patients (14.59%) presented genital lesions. Of 131 patients with cutaneous LP (47.8%), the most commonly affected zones were the body’s flexor surfaces, representing 60.1% of cases. 24% of patients (n=55) related the start of the lesions with previous stress events. Of the 131 subjects with cutaneous lesions, 19% (n=25) also presented oral lichen planus (OLP). Of the total sample, 53.6% (n=147) of patients presented oral lesions. The systemic diseases most commonly associated with this patient sample were psychological problems such as stress, anxiety and depression (48%), hypertension (27%), gastric problems (12%), and diabetes (9.7%). A family history of lichen planus was found in only 2 cases (0,72%) out of the total of 274. Any patient with OLP should undergo a thorough history and examination to investigate potential extraoral manifestations. The fact that 37 patients with OLP in this patient series were identified with simultaneous involvement at more than one site highlights the need for thorough evaluation and multidisciplinary approaches to this disease.

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Fonte de datos: Dialnet