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Number V Oral lichen planus: clinical features and management

Lookup NU author(s): Professor Marco Carrozzo

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Abstract

Oral lichen planus (OLP) is a relatively common chronic inflammatory disorder affecting stratified squamous epithelia. Whereas in the majority of instances, cutaneous lesions of lichen planus (LP) are self-limiting and cause itching, oral lesions in OLP are chronic, rarely undergo spontaneous remission, are potentially premalignant and are often a source of morbidity. Current data suggest that OLP is a T cell-mediated autoimmune disease in which auto-cytotoxic CD8+ T cells trigger apoptosis of oral epithelial cells. The characteristic clinical aspects of OLP may be sufficient to make a correct diagnosis if there are classic skin lesions present. An oral biopsy with histopathologic study is recommended to confirm the clinical diagnosis and mainly to exclude dysplasia and malignancy. The most commonly employed and useful agents for the treatment of lichen planus (LP) are topical corticosteroids but other newer agents are available.

Publication metadata

Author(s): Eisen D, Carrozzo M, Bagan Sebastian JV, Thongprasom K

Publication type: Article

Publication status: Published

Journal: Oral Diseases

Year: 2005

Volume: 11

Issue: 6

Pages: 338-349

ISSN (print): 1354-523X

ISSN (electronic): 1601-0825

Publisher: Wiley-Blackwell Publishing, Inc.

URL: http://dx.doi.org/10.1111/j.1601-0825.2005.01142.x

DOI: 10.1111/j.1601-0825.2005.01142.x

Notes: Journal Article Review

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