Oral lichen planus

Clin Dermatol. 2016 Jul-Aug;34(4):495-504. doi: 10.1016/j.clindermatol.2016.02.023. Epub 2016 Mar 2.

Abstract

Lichen planus is an inflammatory mucocutaneous disease that can affect the skin, hair, nails, and mucosal surfaces. Mucosal sites of involvement include oral, genital, ocular, otic, esophageal, and, less commonly, bladder, nasal, laryngeal, and anal surfaces. Oral lichen planus is a mucosal variant of lichen planus, which tends to affect women more often than men, with a typically more chronic course and potential for significant morbidity. Treatment can be challenging, and there is potentially a low risk of malignant transformation; however, therapeutic benefits can be obtained with various topical and systemic medications. Clinical monitoring is recommended to ensure symptomatic control. Increasing awareness and recognition of this entity have continued to fuel advances in therapy and in our understanding of the disease.

MeSH terms

  • Administration, Oral
  • Administration, Topical
  • Adrenal Cortex Hormones / administration & dosage
  • Adrenal Cortex Hormones / therapeutic use*
  • Biological Products / therapeutic use*
  • Calcineurin Inhibitors / administration & dosage
  • Calcineurin Inhibitors / therapeutic use*
  • Cell Transformation, Neoplastic
  • Female
  • Genital Diseases, Female / etiology
  • Humans
  • Immunosuppressive Agents / administration & dosage
  • Immunosuppressive Agents / therapeutic use*
  • Lichen Planus, Oral / diagnosis*
  • Lichen Planus, Oral / drug therapy*
  • Lichen Planus, Oral / etiology
  • Risk Factors

Substances

  • Adrenal Cortex Hormones
  • Biological Products
  • Calcineurin Inhibitors
  • Immunosuppressive Agents