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口腔扁平苔藓与动脉粥样硬化性心血管疾病的关系:系统评价与荟萃分析

Relationship between Oral Lichen Planus and Cardiovascular Disease of Atherosclerotic Origin: Systematic Review and Meta-Analysis.

作者信息

Gonzalez Navarro Beatriz, Egido Moreno Sonia, Omaña Cepeda Carlos, Estrugo Devesa Albert, Jane Salas Enric, Lopez Lopez Jose

机构信息

School of Dentistry, Oral Health and Masticatory System Group, (Bellvitge Biomedical Research Institute) IDIBELL, University of Barcelona, 08907 Barcelona, Spain.

School of Dentistry, University of Barcelona, 08907 Barcelona, Spain.

出版信息

J Clin Med. 2024 Aug 7;13(16):4630. doi: 10.3390/jcm13164630.

Abstract

: Oral lichen planus (OLP) is a chronic inflammatory autoimmune disease of the oral mucosa that affects between 0.5% and 2% of the general population. In the last decade, several studies have associated cardiovascular diseases (CVDs) with some inflammatory skin diseases such as oral lichen planus, demonstrating the presence of dyslipidemia in these pathologies. The objective of this work is to review whether patients with OLP show higher dyslipidemia and CRP levels compared to a healthy control population without OLP. : Searches were carried out in Medline, Scopus, and Cochrane. The studies had to perform a histopathological diagnosis for OLP and the patients could not take any medication to treat this disorder. Non-lichenoid reactions were included. : After an initial search that provided us with 254 papers, this number was reduced to 10 articles after a detailed evaluation. All of them were case-control studies that compared the presence of analytical cardiovascular risk factors in patients affected by OLP and in healthy subjects. : There is no scientific evidence of the possible association between OLP and CVDs. The only association we can prove is the one between OPL and CVD risk factors, especially those related to the lipid profile. More studies are needed in order to evaluate this relationship in patients diagnosed with CVDs.

摘要

口腔扁平苔藓(OLP)是一种口腔黏膜的慢性炎症性自身免疫疾病,影响着0.5%至2%的普通人群。在过去十年中,多项研究将心血管疾病(CVDs)与一些炎症性皮肤病如口腔扁平苔藓联系起来,表明这些疾病中存在血脂异常。这项工作的目的是比较与无OLP的健康对照人群相比,OLP患者是否表现出更高的血脂异常和CRP水平。

在Medline、Scopus和Cochrane中进行了检索。这些研究必须对OLP进行组织病理学诊断,且患者不能服用任何治疗该疾病的药物。非苔藓样反应也包括在内。

在初步检索得到254篇论文后,经过详细评估,数量减少到10篇文章。所有这些都是病例对照研究,比较了OLP患者和健康受试者中分析性心血管危险因素的存在情况。

没有科学证据表明OLP与CVDs之间可能存在关联。我们能够证明的唯一关联是OPL与CVD危险因素之间的关联,尤其是与血脂谱相关的因素。需要更多的研究来评估已诊断患有CVDs的患者中的这种关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bea/11355525/49264f07b032/jcm-13-04630-g001.jpg

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