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Home > West Medicine > ENT & Ophthalmology > Stomatology
L43.901

Oral Lichen Planus

口腔科

Common symptoms

口腔难愈的白色片状物、丘疹、驻站医、口腔黏膜溃疡、脱发、口腔粘膜弥漫充血、盘状红斑、瘙痒、磨牙

The pathology of disease

Oral lichen planus is chronic T-cell-mediated mucosal inflammation, presenting with reticular white striae (Wickham), erosions/atrophy on buccal mucosa/tongue/gums, often burning/pain. Treatment: topical corticosteroids (paste/rinses); topical calcineurin inhibitors (tacrolimus); systemic steroids for severe; oral hygiene; avoid irritants (spicy/hot/ alcohol); treat candidiasis; evaluate hepatitis C; biopsy of erosive/atrophic lesions; monitor for malignant transformation (1-5% over years); follow-up oral medicine/dermatology.

Common Symptoms

Reticular white striae; erosions/atrophy; buccal/tongue/gums; burning

Causes and Pathogenesis

T-cell attack on basal keratinocytes causes mucosal lichenoid inflammation.

Treatment

Topical/systemic steroids; calcineurin inhibitors; oral hygiene; monitor malignancy

Preventive Measures

Oral hygiene; avoid irritants; regular surveillance.

Department to Visit

It is recommended to visit the Oral-medicine/Dermatology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.