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一名儿科患者的口腔扁平苔藓非典型病例:临床表现与处理

Atypical case of oral lichen planus in a pediatric patient: clinical presentation and management.

作者信息

De Moraes Paulo Camargo, Teixeira Rubens Gonçalves, Tacchelli Daniela Prata, Bönecker Marcelo, Junqueira José Luiz Cintra, Oliveira Luciana Butini

机构信息

Department of Oral Surgery, São Leopoldo Mandic Institute and Research Center, Campinas.

出版信息

Pediatr Dent. 2011 Sep-Oct;33(5):445-7.

Abstract

Lichen planus (LP) is a mucocutaneous disease of unknown etiology that is relatively common in adults but rarely present in childhood. LP has been documented in dental and medical literature; however, there are few cases with oral involvement in children. The purpose of this paper was to report an unusual case of oral lichen planus involving the upper lip in a 7-year-old girl. A diagnosis was made based on clinical examination and histopathology features. The treatment consisted of topical corticosteroid and intralesional injection. After treatment with an intralesional corticosteroid, a complete re- mission of lesions involving the lip was observed. The 3-year follow-up, however, revealed asymptomatic lichenoid bilaterally affecting the buccal mucosa. The patient is currently under regular review.

摘要

扁平苔藓(LP)是一种病因不明的黏膜皮肤疾病,在成年人中相对常见,但在儿童中很少出现。牙科和医学文献中已有关于LP的记载;然而,儿童口腔受累的病例很少。本文的目的是报告一例7岁女孩上唇发生的罕见口腔扁平苔藓病例。根据临床检查和组织病理学特征做出诊断。治疗包括局部使用皮质类固醇和病灶内注射。病灶内注射皮质类固醇治疗后,观察到唇部病变完全缓解。然而,3年的随访显示双侧颊黏膜出现无症状的苔藓样变。该患者目前正在接受定期复查。

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