Oral Chronic Mucositis in a Known Lichen Planus Pigmentosus Patient

Oral manifestations of mucocutaneous inflammatory diseases such as lichenoid dermatoses often affect the patient’s quality of life through the symptoms of pain and burning sensation. In this case report, a patient with known lichen planus pigmentosus (LPP), a variant of lichenoid dermatoses that rar...

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Main Authors: Dalad Pinchaleaw, Pirawish Limlawan
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2024/1975932
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author Dalad Pinchaleaw
Pirawish Limlawan
author_facet Dalad Pinchaleaw
Pirawish Limlawan
author_sort Dalad Pinchaleaw
collection DOAJ
description Oral manifestations of mucocutaneous inflammatory diseases such as lichenoid dermatoses often affect the patient’s quality of life through the symptoms of pain and burning sensation. In this case report, a patient with known lichen planus pigmentosus (LPP), a variant of lichenoid dermatoses that rarely affect oral mucosa, presented with chronic pain in the oral cavity for 2 months. Her intraoral examination revealed multiple pseudomembranous ulcers with erythematous areas and white striae similar to erosive lichen planus. The histological assessment revealed chronic mucositis, while the direct immunofluorescent examination showed negative results, contradicting the diagnosis of both lichen planus and LPP. Thus, the diagnosis was given as chronic mucositis, and the topical steroid was given. After 6 weeks of steroid application, the lesion resolved. To the best of our knowledge, this is the first report of chronic mucositis in LPP patients. This report could raise the awareness of clinicians to carefully take history as the patient with LPP may suffer from chronic mucositis in the oral cavity as well.
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spelling doaj-art-6acebf6367a24bf69a93a65d5094367c2025-02-03T01:30:21ZengWileyCase Reports in Dentistry2090-64552024-01-01202410.1155/2024/1975932Oral Chronic Mucositis in a Known Lichen Planus Pigmentosus PatientDalad Pinchaleaw0Pirawish Limlawan1Residency TrainingDepartment of Oral MedicineOral manifestations of mucocutaneous inflammatory diseases such as lichenoid dermatoses often affect the patient’s quality of life through the symptoms of pain and burning sensation. In this case report, a patient with known lichen planus pigmentosus (LPP), a variant of lichenoid dermatoses that rarely affect oral mucosa, presented with chronic pain in the oral cavity for 2 months. Her intraoral examination revealed multiple pseudomembranous ulcers with erythematous areas and white striae similar to erosive lichen planus. The histological assessment revealed chronic mucositis, while the direct immunofluorescent examination showed negative results, contradicting the diagnosis of both lichen planus and LPP. Thus, the diagnosis was given as chronic mucositis, and the topical steroid was given. After 6 weeks of steroid application, the lesion resolved. To the best of our knowledge, this is the first report of chronic mucositis in LPP patients. This report could raise the awareness of clinicians to carefully take history as the patient with LPP may suffer from chronic mucositis in the oral cavity as well.http://dx.doi.org/10.1155/2024/1975932
spellingShingle Dalad Pinchaleaw
Pirawish Limlawan
Oral Chronic Mucositis in a Known Lichen Planus Pigmentosus Patient
Case Reports in Dentistry
title Oral Chronic Mucositis in a Known Lichen Planus Pigmentosus Patient
title_full Oral Chronic Mucositis in a Known Lichen Planus Pigmentosus Patient
title_fullStr Oral Chronic Mucositis in a Known Lichen Planus Pigmentosus Patient
title_full_unstemmed Oral Chronic Mucositis in a Known Lichen Planus Pigmentosus Patient
title_short Oral Chronic Mucositis in a Known Lichen Planus Pigmentosus Patient
title_sort oral chronic mucositis in a known lichen planus pigmentosus patient
url http://dx.doi.org/10.1155/2024/1975932
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