Ulcerative lichen planus of lower lip – Case series p. 288
Sudha Rani Chintagunta, Sri Nitya Sana, Prema Jyothi Gopidi
DOI:10.4103/JDRNTRUHS.JDRNTRUHS_64_18
Lichen planus (LP) involving lips is a rare occurrence. It can occur isolated or with cutaneous or oral lesions. Clinical features include radiated streaks, lace-like papules, and erosions, usually confined to vermilion border. When isolated, it should be differentiated from cheilitis, discoid lupus erythematosus, and other ulcerative conditions. Herein, we report nine cases of LP involving lower lip, with persistent ulceration and crusting. Of the nine patients in our series, eight were females and one was male. Age varied from 25 to 44 years, and the average duration was 4 years. Cutaneous examination revealed diffuse involvement of the lower lip with ulceration, hemorrhagic crusting in eight and localized involvement in one. Biopsy was suggestive of LP with no dysplasia or malignancy. Treatment with topical corticosteroids, tacrolimus, sunscreens, and Hydroxy chloroquine has shown variable results with frequent relapses. Because lesions on the lips are highly susceptible to actinic changes and malignant transformation, these patients require regular and long-term follow-up.
http://www.jdrntruhs.org/currentissue.asp?sabs=y
Sudha Rani Chintagunta, Sri Nitya Sana, Prema Jyothi Gopidi
DOI:10.4103/JDRNTRUHS.JDRNTRUHS_64_18
Lichen planus (LP) involving lips is a rare occurrence. It can occur isolated or with cutaneous or oral lesions. Clinical features include radiated streaks, lace-like papules, and erosions, usually confined to vermilion border. When isolated, it should be differentiated from cheilitis, discoid lupus erythematosus, and other ulcerative conditions. Herein, we report nine cases of LP involving lower lip, with persistent ulceration and crusting. Of the nine patients in our series, eight were females and one was male. Age varied from 25 to 44 years, and the average duration was 4 years. Cutaneous examination revealed diffuse involvement of the lower lip with ulceration, hemorrhagic crusting in eight and localized involvement in one. Biopsy was suggestive of LP with no dysplasia or malignancy. Treatment with topical corticosteroids, tacrolimus, sunscreens, and Hydroxy chloroquine has shown variable results with frequent relapses. Because lesions on the lips are highly susceptible to actinic changes and malignant transformation, these patients require regular and long-term follow-up.
http://www.jdrntruhs.org/currentissue.asp?sabs=y
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