| Autor: |
Gerber, Caroline, Lucas, C?cile, Sourdot, Alexandra, Kirchner, St?phane, Bravetti, Pierre |
| Zdroj: |
Actualités Odonto-Stomatologiques; December 2009, Vol. 2009 Issue: 248 p349-360, 12p |
| Abstrakt: |
Le lichen plan buccal est une dermatose inflammatoire chronique, g?n?ralement b?nigne et dont le diagnostic repose sur un examen clinique rigoureux et l?analyse anatomopathologique. Il se caract?rise par des formes cliniques vari?es dont le lichen plan buccal ?rosif qui correspond ? 40 % des l?sions. Cette forme particuli?re se distingue par une symptomatologie et des signes cliniques et histologiques particuliers. G?n?ralement hyperalgique, ce type de l?sions n?cessite un traitement ? base de cortico?des locaux ou de r?tino?des topiques. Trois cas cliniques viendront illustrer notre propos, nous permettant d?aborder l?association entre le lichen plan buccal et certaines pathologies syst?miques, ainsi que la notion de gingivite ?rosive chronique.Oral lichen planus is a chronical disease, most often benign and diagnosed by means of rigorous clinical and histopathological analysis. Even if it is characterized by various clinical forms, erosive oral lichen planus corresponds to 40% of the lesions. The diagnostic is based on specific symptoms, clinical and histological features. Commonly painfull, this disease necessitates a treatment based on corticosteroids or topic retinoids. Three clinical cases come to illustrate our comments and enable us to tackle association between oral lichen planus and some systemic diseases as well as the topic of desquamative gingivitis. |
| Databáze: |
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