Rezazadeh Fahimeh, Lavaee Fatemeh, Dezhkameh Saba, Afshari Aylar
Oral and Dental Disease Research Center, Department of Oral and Maxillofacial Medicine, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
Student Research Committee, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
Sci Rep. 2025 May 14;15(1):16679. doi: 10.1038/s41598-025-01750-4.
Lichen planus (LP), an inflammatory and chronic disorder, is immune-mediated and influences nails, skin, hair, and mucosal tissues. Autoimmune diseases affect females more commonly, and it is reported that there is an association between certain sex hormones and autoimmune diseases. This study aims to evaluate the serum levels of DHT, Dehydroepiandrosterone (DHEAs), and testosterone (T) in patients who have oral lichen planus (OLP) compared to healthy people. Forty female patients diagnosed with OLP were selected. They were considered to have the same mean age as 40 patients in the control group. The enzyme-linked immunosorbent assay investigated Androgens' serum levels (Monobomal kit, Sherkat Azmayeshgah Bartar). The age mean 51.90 ± 11.52 for the patient group and 49.10 ± 11.63 for the control group. Erosive LP was the most common subtype of LP, 72.5% of LP lesions. The differences between DHEAs (p value = 0.126), DHT (p value = 0.710), and T's serum level (p value = 0.376) groups were not significant. There was no difference between hormonal levels during menopause and the non-menopause group. There was no correlation between OLP and androgens. DHEAs, DHT, and T levels were not different between case and control groups; therefore, the results did not support any neuroendocrine etiology for OLP. Also, there was no change in these androgens' serum levels during the transition from pre-menopause to post-menopause.Trial registration: The study adhered to the ethical principles of the Helsinki Declaration (2002 version) and received approval from the ethics committee of Shiraz University of Medical Sciences, Shiraz, Iran (IR.SUMS.REC.1397.709).
扁平苔藓(LP)是一种炎症性慢性疾病,由免疫介导,可影响指甲、皮肤、毛发和黏膜组织。自身免疫性疾病在女性中更为常见,据报道某些性激素与自身免疫性疾病之间存在关联。本研究旨在评估口腔扁平苔藓(OLP)患者与健康人相比血清中双氢睾酮(DHT)、脱氢表雄酮(DHEAs)和睾酮(T)的水平。选取了40例诊断为OLP的女性患者。她们的平均年龄被认为与对照组的40例患者相同。采用酶联免疫吸附测定法检测雄激素的血清水平(Monobomal试剂盒,Sherkat Azmayeshgah Bartar)。患者组的平均年龄为51.90±11.52岁,对照组为49.10±11.63岁。糜烂性LP是LP最常见的亚型,占LP病变的72.5%。DHEAs(p值 = 0.126)、DHT(p值 = 0.710)和T的血清水平组之间的差异不显著。绝经组和非绝经组的激素水平没有差异。OLP与雄激素之间没有相关性。病例组和对照组之间DHEAs、DHT和T水平没有差异;因此,结果不支持OLP的任何神经内分泌病因。此外,从绝经前到绝经后过渡期间,这些雄激素的血清水平没有变化。试验注册:本研究遵循《赫尔辛基宣言》(2002年版)的伦理原则,并获得了伊朗设拉子医科大学伦理委员会的批准(IR.SUMS.REC.1397.709)。