Erosive Lichen Planus: A Case Report
Erosive Lichen Planus: A Case Report
Erosive Lichen Planus: A Case Report
CASE REPORT
Keywords Abstract
Erosive lichen planus, topical corticosteroids, Lichen planus (LP) is a chronic inflammatory autoimmune mucocutaneous disease
triamcinolone acetonide
affecting about 2% of the population. There are three basic forms of oral LP (OLP)
which includes hypertrophic, erythematous, and bullous forms. The erosive form is the
Correspondence:
Dr. Lakshmi Balraj, Department of Oral
second most common form of OLP following the reticular type. This case report reviews
Medicine and Radiology, Sri Rajiv Gandhi the clinical approach to an erosive variant of OLP; wherein, the patient was educated,
College of Dental Sciences & Hospital, counseled about the chronicity of the condition and also about its high risk of malignant
Cholanagar, Bengaluru - 560 032, transformation; immediate biopsy being prompted; followed by the institution of
Karnataka, India. Phone: +91-9742504911. appropriate, timely treatment.
E-mail: [email protected]
doi: 10.15713/ins.jmrps.82
Journal of Medicine, Radiology, Pathology & Surgery ● Vol. 4:1 ● Jan-Feb 2017 11
Balraj, et al. Erosive lichen planus: A case report
Discussion
OLP is a chronic autoimmune mucocutaneous disease primarily
affecting primarily middle-aged women. An abnormal T-cell
mediated immune response is the main underlying factor which
results in basal epithelial cells to be recognized as foreign bodies
due to changes in the antigenicity of their cell surface. However,
the cause of this immune-mediated damage of basal cell layer is
still not known.[1]
The etiology of OLP appears to be multifactorial and
complicated. Ismail et al.[5] reported a list of exacerbating
factors for OLP and OLP reactions such as stress, drugs (anti-
malarial, diuretics, gold salts, antiretroviral, beta blockers,
and penicillamine), certain dental materials (dental amalgam,
composite and resin-based materials, and metals), chronic liver
disease and hepatitis C virus, genetics and tobacco chewing.
Systemic diseases seen associated with OLP includes diabetes Figure 3: Whitish lacy striae arranged in annular pattern
mellitus, hypertension, ulcerative colitis, myasthenia gravis, surrounded by pigmentation
12 Journal of Medicine, Radiology, Pathology & Surgery ● Vol. 4:1 ● Jan-Feb 2017
Erosive lichen planus: A case report Balraj, et al.
Journal of Medicine, Radiology, Pathology & Surgery ● Vol. 4:1 ● Jan-Feb 2017 13
Balraj, et al. Erosive lichen planus: A case report
14 Journal of Medicine, Radiology, Pathology & Surgery ● Vol. 4:1 ● Jan-Feb 2017