Panta Prashanth, Andhavarapu Archana, Sarode Sachin C, Sarode Gargi, Patil Shankargouda
Department of Oral Medicine and Radiology, MNR Dental College and Hospital, Sangareddy, Telangana, India.
Department of Pulmonary Medicine, Malla Reddy Medical College for Women, Suraram, Quthubullapur, Hyderabad, Telangana, India.
Clin Pract. 2019 Jun 24;9(2):1144. doi: 10.4081/cp.2019.1144. eCollection 2019 May 6.
The spectacle of Koebner's phenomenon (KP) is interesting in that trauma precipitates a subset of pathologically distinct conditions, indicating the subtle interplay between sensitization and dermato-mucosal integrity. KP is interesting because, if factors initiating it are controlled, then it may be possible to prevent these debilitating conditions through induction of reverse Koebnerization. Herein, we present a report of a patient with an erosive lesion, localized to the occlusal plane on buccal and lingual mucosa, that interestingly subsided following 1 week after a dental scaling procedure. This report analytically describes the role of dental calculus and cuspal trauma as important triggers surrounding the genesis of oral lichenoid lesion and oral lichen planus. An engaging discussion on these closely related enigmatic entities forms the central theme of this report.
科布纳现象(KP)的表现很有趣,因为创伤会引发一系列病理上不同的病症,这表明致敏作用与皮肤黏膜完整性之间存在微妙的相互作用。KP之所以有趣,是因为如果引发它的因素得到控制,那么通过诱导反向科布纳化有可能预防这些使人衰弱的病症。在此,我们报告一例患者,其糜烂性病变局限于颊侧和舌侧黏膜的咬合面,有趣的是,在进行洗牙治疗1周后病变消退。本报告分析性地描述了牙结石和牙尖创伤作为口腔苔藓样病变和口腔扁平苔藓发生的重要触发因素所起的作用。关于这些密切相关的神秘实体的引人入胜的讨论构成了本报告的核心主题。