ISSN 2756-3421
African Journal of Dentistry ISSN 3216-0216 Vol. 8 (3), pp. 001-003, March, 2020. © International Scholars Journals
Case Report
A case of recalcitrant oral lichen planus
Md. Hadiuzzaman1, M. Hasibur Rahman1 and Nazma Parvin Ansari2
1Department of Dermatology and VD, Community Based Medical College, Bangladesh.
2Department of Pathology, Community Based Medical College, Bangladesh.
Accepted 12 December, 2019
Abstract
Oral lichen planus (OLP) is a chronic inflammatory dermatosis of unknown etiology that often involves the mucous membranes. Most of the non-ulcerative type of OLP improved with topical and systemic medications and recurrence is common. Here, a 52-year-old male presented with a 10-year history of persistent, gray-white oral mucosal discoloration and discomfort that had not improved after empiric treatment with topical triamcinolone acetonide. Histopathologic examination confirmed the diagnosis of OLP. Treatments were given with intralesional triamcinolone acetonide, oral paste and even systemic steroids, but little improvement was noted. Finally, patient was cured by surgical excision. There was no relapse after 2 years follow up.
Key words: Oral lichen planus (OLP), steroids, surgical excision, relapse.