Lichen Planus Flashcards
What is Lichen Planus?
- Chronic inflammatory disease
- Affects approx 1% of pop
- Mainly 30-50 age
- Can be idiopathic or drug related
In lichen planus Skin cases what is the percentage you are also likely to have oral lesions?
- 50%
In Lichen Planus oral cases what is the percentage with skin lesions?
- 10-30%
What type of Lichen Planus is this?
- Reticular
What type of Lichen Planus is this?
Atrophic / erosive
What type of Lichen planus is this?
- Ulcerative
What are the Oral lichen planus sites?
- Buccal mucosa
- Gingivae (Desquamative Gingivitis)
- Tongue (lateral aspect, dorsum)
- Lips
- Palate
What is the most common oral site for Lichen planus?
- Anywhere on Buccal mucosa but more likely on
- Anterior at commisure
- Mid
- Posterior around 3 rd molar tooth
- An easy biopsy site
When found in Isolation what is Gingival Lichen planus also called?
- Desquamative gingivitis
- Has very erythematous appearance
What other diagnosis does desquamative gingivitis have a similar clinical appearance to?
- Gingival pemphigoid
- And plasma cell gingivitis
(Histology important to tell the difference)
Why is a biopsy for gingival lichen planus difficult?
- Risk of damaging attachment area of gingiva/tooth
- Adherent attached mucosa damaged lifting from bone
What is very important in settling gingival lichen planus?
- OHI
- Esp interdental
- Seems plaque driven in many pts
What is the presentation of gingival lichen planus?
- Can be patchy
- Some forms more ‘typical’ reticular pattern
- Varies
What lichen planus is this?
- Gingival lichen planus
When Lichen planus is found on the Dorsum of the tongue what is its trigger?
- Usually idiopathic
- Loss of papillae and smooth tongue surface