Clinical characteristics and treatment of patients with oral lichen planus in Israel

被引:60
作者
Gorsky, M
Raviv, M
Moskona, D
Laufer, M
Bodner, L
机构
[1] TEL AVIV UNIV, MAURICE & GABRIELA GOLDSCHLEGER SCH DENT MED, SECT ORAL PATHOL & ORAL MED, IL-69978 TEL AVIV, ISRAEL
[2] BEN GURION UNIV NEGEV, SOROKA MED CTR, DEPT ORAL & MAXILLOFACIAL SURG, IL-84105 BEER SHEVA, ISRAEL
来源
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY | 1996年 / 82卷 / 06期
关键词
D O I
10.1016/S1079-2104(96)80439-2
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Oral lichen planus (OLP) has a multiple-site involvement, with the buccal mucosa being the most prevalent. A possible relationship between OLP and the risk of malignancies in the involved site is documented. The characteristics of OLP have been studied in different populations; however, no similar studies have been conducted in any Jewish population. The purpose of this study was to evaluate the natural history of OLP in Israeli Jewish patients. Data were collected from 157 charts of patients with histologically confirmed OLP. No evidence suggesting a connection between OLP and diabetes, cardiovascular disease, smoking, alcohol use, or positive Candida culture was found. Skin involvement of lichen planus was found in one fifth of the patients. Symptomatic OLP was noted in half of the patients, mainly in those with the erosive form. In 65% of the patients with symptoms, improvement by more than 50% was shown within 2 weeks of steroid use. The transformation rate of 1.3% of OLP into malignancy was observed in the entire group. A constant follow-up for contributing symptoms and for early diagnosis of suspected transformed lesions is of utmost importance.
引用
收藏
页码:644 / 649
页数:6
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