Oral lichen planus: a clinical and morphometric study of oral lesions in relation to clinical presentation

Oral lichen planus (OLP) is a chronic inflammatory disease with different clinical presentations that can be classified as reticular or atrophic-erosive. Sixty-two OLP patients were studied to evaluate the clinical-pathologic characteristics of their OLP lesions and to investigate possible differences in their biological behavior. The most common clinical presentation was the reticular type (62.9% vs 37.1%). Atrophic-erosive presentations showed significantly longer evolution (chi square=4.454; p=0.049), more extensive lesions (chi square=16.211; p=0.000) and more sites affected than reticular ones (chi square=10.048; p=0.002). Atrophic-erosive OLP was more frequently found on the tongue, gingiva and floor of the mouth. No statistically significant differences could be identified between reticular and atrophic-erosive clinical presentations in terms of age, sex, tobacco habit, plasma cortisol level and depth of inflammatory infiltrate. We concluded that the classification of OLP lesions as reticular vs atrophic-erosive is a simple, easy to use classification that can identify clinical presentations with different biological behavior.

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Bibliographic Details
Main Authors: Seoane,Juan, Romero,María Amparo, Varela-Centelles,Pablo, Diz-Dios,Pedro, Garcia-Pola,María José
Format: Digital revista
Language:English
Published: Fundação Odontológica de Ribeirão Preto 2004
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402004000100002
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