Revista Brasileira de Odontologia (Dec 2018)
Clinicopathologic Features of Oral Lichen Planus in a Stomatology Service: a descriptive analysis
Abstract
Lichen planusis a T-cell mediated mucocutaneous disease of um known etiology. Know ledgeon epidemiological data from the disease isimportantto preventand to establish therapeutics trategies. Objective: the aim of this study was to review cases diagnosed as oral lichen planus in a Stomatology service. Material and method: all cases diagnosed as oral lichen planus were reviewed and epidemiological data were obtained from the patients records. Demographic and clinical data were described, including gender, age, symptoms, time of evolution, medical history, habits, location and clinical aspect of the lesions. Clinical and histological analysis was performed using van der Waal´s parameters (van der Waal, 2009). Cases with incomplete data and without final conclusive diagnosis were excluded. Results: sixteen cases composed the final sample through both clinical and histological criteria. Females were more affected (94%) and mean age of the patients was 55 years-old (ranging from 24 to 82 years-old). The most common site of involvement was buccal mucosa.Most lesions (69%) were clinically described as white bilateral symmetric striae with erithematous areas. Most patients (75%) complained about burning symptoms. Medical history revealed 44% of the patients with hypertension, 12% of the patients with diabetes and 19% of the patients with hypothyroidism and 6% with hyperthyroidism. Six percent of the patients were smokers. Conclusion: oral lichen planus affected more middle age females with discrete signs and symptoms.
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