Oral lichen planus: A look from diagnosis to treatment
| Autor: | Aida Rubio, Pablo Córdova, Paula Echeverría |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Population Mucocutaneous zone Buccal mucosa Clinical/Histopathology Diagnosis stomatognathic system medicine Corticosteroids Effective treatment Oral mucosa education General Dentistry education.field_of_study business.industry medicine.disease Dermatology Surgery lcsh:RK1-715 stomatognathic diseases medicine.anatomical_structure lcsh:Dentistry Oral lichen planus Oral Lichen Planus Neoplasms business Relevant information |
| Zdroj: | Journal of Oral Research, Vol 3, Iss 1, Pp 62-67 (2014) |
| ISSN: | 0719-2460 |
| DOI: | 10.17126/joralres.2014.015 |
| Popis: | Oral lichen planus (OLP) is a chronic mucocutaneous disease of unknown etiology. Its pathogenesis is multifactorial and it may affect the oral mucosa, skin and other mucous membranes. Diagnosis is based on clinic and histopathology; direct immunofluorescence techniques can also be of use. It affects about one to two percent of the population, mainly women between the fifth and sixth decades of life. In the mouth, the most affected area is the buccal mucosa, followed by the gums, tongue and/or palate. Its three most representative clinical forms are reticular, erythematous and erosive; evolution depends on the type it is. Lesion treatment is determined by the clinical form and, since no fully effective treatment has been found yet, it is directed towards controlling the disease. The treatment of choice involves topical or systemic corticosteroids, but other drugs may also be used.The aim of this paper is to gather current and relevant information about oral lichen planus: its pathogenesis, diagnosis, treatment and management. Keywords: Oral Lichen Planus, Clinical/Histopathology Diagnosis, Corticosteroids, Neoplasms. Liquen plano oral: Una mirada desde el diagnostico al tratamiento. Resumen: El liquen plano oral (LPO) es una enfermedad cronica mucocutanea de etiologia poco conocida, cuya patogenesis es multifactorial, y puede afectar a la mucosa oral, piel y otras mucosas. El diagnostico esta basado en la clinica y la histopatologia. Ademas, tecnicas como la inmunofluorescencia directa pueden contribuir al diagnostico de la enfermedad. Afecta del 1 al 2% de la poblacion, principalmente mujeres, entre la quinta y sexta decadas de la vida. En boca, la zona mas afectada es la mucosa yugal, seguido de encias, lengua y/o paladar. Las tres formas clinicas mas representativas son: reticular, eritematosa y erosiva, cuya evolucion varia segun el tipo. El tratamiento de las lesiones depende de la forma clinica y esta dirigido hacia un control de la enfermedad, ya que en la actualidad no se conoce un tratamiento del todo efectivo. El tratamiento de eleccion es la utilizacion de corticoides, en forma topica o sistemica, aunque otros farmacos tambien pueden ser utilizados para el manejo de la enfermedad. El objetivo del presente articulo es recopilar informacion actualizada y relevante del liquen plano oral en su etiopatogenia, diagnostico, tratamiento y manejo de la enfermedad. Palabras clave: Liquen Plano Oral, Diagnostico Clinico/ Histologico, Corticoides, Neoplasia. |
| Databáze: | OpenAIRE |
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