FREQUENCY OF CLINICAL PATTERNS OF ORAL LICHEN PLANUS

Authors

  • Asmaa Batool Awan Asmaa Fatima Jinnah Medical University, Sir Ganga Ram Hospital, Lahore

Abstract

Background:   Lichen planus is a chronic autoimmune inflammatory mucocutaneous disorder affecting stratified squamous epithelium, involving skin, oral and genital mucous membranes, nails and scalp. Oral Lichen planus is more common than cutaneous forms and is resistant to treatment. It presents as reticular, erosive and atrophic lesions. One of the complications of oral Lichen planus is development of squamous cell carcinoma. We want to ascertain different clinical patterns of oral lichen planus in our population. Objective:  To determine the frequency of different clinical patterns of oral Lichen planus in patients presenting in a tertiary care hospital. Methods:  It was a Cross sectional study conducted in Department of Dermatology, Sir Ganga Ram Hospital, on 100 patients meeting the inclusion criteria. Patients were explained the details of study, written informed consent was taken. Patients were examined clinically and their age, gender, duration of disease and clinical patterns of oral lichen planus and the site of lesions were recorded in the predesigned proforma. Results: Out of 100 patients, 38 were males and 62 were females. The mean age of the patients was 40±10 years. The mean duration of disease was 5.4±6 years. Among the various clinical patterns, the isolated reticular pattern was found in 65 % of patients, the erosive pattern was seen in 28% of patients, the atrophic pattern was seen in 7% of patients .42% of patients had no concomitant skin lesions while 58% had skin lesions along with the oral lesions. The most common site of involvement was buccal mucosa, seen in 61 % of patients with the most common pattern i-e isolated reticular pattern. When stratified the oral LP was highest among the age group of 41 to 50years and among those with duration between 1 to 5 years. There was a significant relationship among duration of disease (p=<0.001) and age (p=0.04) of patient with the pattern of disease, however there was no significant relationship among gender (p=0.63) and disease pattern. Erosive oral LP showed longest duration. Conclusion: The most frequent clinical pattern of oral lichen planus seen in this study was reticular pattern and the most common site of involvement was buccal mucosa. The second most common pattern was erosive pattern and atrophic pattern was the least common pattern observed. Erosive LP showed the longest duration.  

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Published

2022-03-29

How to Cite

1.
Asmaa ABA. FREQUENCY OF CLINICAL PATTERNS OF ORAL LICHEN PLANUS. J Pak Assoc Dermatol [Internet]. 2022Mar.29 [cited 2024Jun.17];32(1):62-7. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/1814

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Original Articles