Nagao Yumiko, Nakagaki Hitomi, Tomiyasu Nobuo, Tsuji Masahide
Public Health, Graduate School of Medicine, Juntendo University Faculty of Medicine, Tokyo, JPN.
Dental and Oral Surgery, Tsuji Dental and Oral Surgery Clinic, Omuta, JPN.
Cureus. 2024 Jul 21;16(7):e65054. doi: 10.7759/cureus.65054. eCollection 2024 Jul.
Oral lichen planus (OLP), a chronic inflammatory mucocutaneous disease, is known to be associated with liver disease. Additionally, associations between periodontal disease and metabolic dysfunction-associated steatotic liver disease (MASLD), as well as cardiovascular disease, have been reported. Herein, we report a case of a 68-year-old male who presented at a dental clinic with OLP, which showed signs of improvement after treatment for periodontal disease. The patient had hepatic dysfunction and steatosis, which was complicated by angina pectoris. He was diagnosed with OLP and periodontal disease. Subsequent close examination of his liver led to a diagnosis of MASLD. Treatment for periodontal disease and enhanced oral self-care improved the OLP lesions and liver function values. This case demonstrates that collaboration between different medical disciplines can significantly impact patient health.
口腔扁平苔藓（OLP）是一种慢性炎症性黏膜皮肤疾病，已知与肝脏疾病有关。此外，牙周病与代谢功能障碍相关脂肪性肝病（MASLD）以及心血管疾病之间的关联也有报道。在此，我们报告一例68岁男性病例，该患者因OLP就诊于牙科诊所，在接受牙周病治疗后症状有所改善。患者存在肝功能障碍和脂肪变性，并伴有心绞痛。他被诊断为OLP和牙周病。随后对其肝脏进行的仔细检查诊断为MASLD。牙周病治疗和加强口腔自我护理改善了OLP病变和肝功能指标。该病例表明不同医学学科之间的协作可对患者健康产生重大影响。
