Lichenoid reaction: case report

• Main Author: Jardim, Ellen Cristina Gaetti
• Publication Date: 2013
• Other Authors: Pereira, Tamiris Tainara Marcondes, Silva, Henrique Celestino Lima e, Melo, Rosana Leite de, Jardim Júnior, Elerson Gaetti [UNESP], Mendonça, José Carlos Garcia de, Silva, Marceli Moço [UNESP]
• Format: Article
• Language: eng
• Source: Repositório Institucional da UNESP
• Download full: http://www.mastereditora.com.br/bjscr4-1; http://hdl.handle.net/11449/133567
• topic: Lichen planus; Oral diagnosis; Treatment.; Líquen plano; Diagnóstico bucal; Tratamento

Lichenoid lesions are mucocutaneous disease of chronic inflammatory origin. Can produce side effects to drugs, dental materials, affecting 0.5 to 1% of the world population mainly in women in the fourth decade of life. The history and meticulous clinical servation may clarify the reactive nature, but the clinical diagnosis will only be conclusive when associated with tests such as histopathology. Therefore the objective of the study is to report a case of a woman of 55 years old, complaining of "white spots sore". Reported being allergic to metals, chocolate, acidic foods and certain types of clothes. From accurate intraoral clinical examination, white plaques were found in the dorsum of the tongue, hard palate and buccal mucosa, inaccurate and rough limits, and ulcerations throughout the labial edge and upper palate. Histopathology revealed a lichenoid reaction. Was instituted as pharmacological treatment, the use of systemic corticosteroids. Clinical follow-up of one year showed reduction of clinical symptoms, allowing to conclude that the clinical follow-up of this disease is necessary since its dubious malignant potential and diagnostic difficulty. Thus, early recognition of this disease allows instituting appropriate treatment with relief of anxiety of the patient and their family.