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Lichen Planus Vs Lichenoid Reaction: A Comprehensive Review


Affiliations
1 Post Graduate Student, Department of Oral Pathology and Microbiology Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, India
2 Professor, Department of Oral Pathology and Microbiology, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, India
3 Reader, Department of Oral Pathology and Microbiology, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, India
4 Professor and Head of the Department, Department of Oral Pathology and Microbiology, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, India
     

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Lichen planus (OLP) is relatively common, chronic dermatologic disease that frequently affects oral mucosa besides skin, genital mucosa, scalp and nails. Oral lichenoid reaction (OLR) represent a prevalent endpoints for extrinsic agents (allergens, medicines, dental materials) modified self antigens or superantigens. In lichen planus, an immune mediated pathogenesis is acknowledged although the correct causative agent is unknown. Despite comparable clinicopathological characteristics: etiology, diagnosis and prognosis between OLP and OLR. Diagnosis of OLP is established either by clinical or by clinical and histopathologic confirmation. Histopathologic features of OLP and OLR are similar with suggestions of certain discriminatory features by some authors.The significant role played in the diagnostic process by the inclusion of the clinician and the oral pathologist. In this article, etiopathogenesis, diagnosis, management, malignant transformation of OLP and OLR is reviewed.

Keywords

Lichen planus, Lichenoid Reaction, Dermatologic Disease, Oral Pathologist.
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  • Lichen Planus Vs Lichenoid Reaction: A Comprehensive Review

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Authors

E. P. Sridevi Anjuga
Post Graduate Student, Department of Oral Pathology and Microbiology Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, India
N. Aravindha Babu
Professor, Department of Oral Pathology and Microbiology, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, India
N. Anitha
Reader, Department of Oral Pathology and Microbiology, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, India
K. M. K. Masthan
Professor and Head of the Department, Department of Oral Pathology and Microbiology, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, India

Abstract


Lichen planus (OLP) is relatively common, chronic dermatologic disease that frequently affects oral mucosa besides skin, genital mucosa, scalp and nails. Oral lichenoid reaction (OLR) represent a prevalent endpoints for extrinsic agents (allergens, medicines, dental materials) modified self antigens or superantigens. In lichen planus, an immune mediated pathogenesis is acknowledged although the correct causative agent is unknown. Despite comparable clinicopathological characteristics: etiology, diagnosis and prognosis between OLP and OLR. Diagnosis of OLP is established either by clinical or by clinical and histopathologic confirmation. Histopathologic features of OLP and OLR are similar with suggestions of certain discriminatory features by some authors.The significant role played in the diagnostic process by the inclusion of the clinician and the oral pathologist. In this article, etiopathogenesis, diagnosis, management, malignant transformation of OLP and OLR is reviewed.

Keywords


Lichen planus, Lichenoid Reaction, Dermatologic Disease, Oral Pathologist.