Erosive Oral Lichen Planus-A Case Report

摘要

A 64 year old female patient reported with a chief complaint of burning sensation of the mouth for the past 6 months following which patient was subjected to incisional biopsy from the right buccal mucosa region in relation to 45.46 region and was diagnosed to be having Erosive Lichen Planus. Treatment was initiated and patient had significant improvement of symptoms after 1 week of follow up. Here we report the case and review current modalities in the management of erosive oral lichen planus (OLP). OLP is a chronic inflammatory disease that affects the mucous membrane of the oral cavity. It is a T cell mediated autoimmune disease in which the cytotoxic CD 8+ T cells trigger apoptosis of the basal cells of the oral epithelium. (1)The prevalence of OLP globally is 1 to 2 % while in the Indian scenario, it is 2.6%.The malignant transformation rate ranges from 0.4 to 5.3 %.(2) Case Report A 64 year old female patient reported to the Department of Oral Medicine and Radiology, Saveetha Dental College with a chief complaint of burning sensation of the oral cavity for the past 6 months. Her burning sensation was aggravated on the intake of hot and spicy foods and had relief on the intake of cold food substances, but felt that off late she had been experiencing burning sensation on the intake of all kinds of food substances. Her past medical history revealed that she is a hypertensive and diabetic patient and is under Aten 50 and Glide M for the same.