Liquen plano oral en paciente con psoriasis: Reporte de caso y revisión de literatura
Fecha
2020-12-23
Tipo
artículo original
Autores
Boza Oreamuno, Yadira Vanessa
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Resumen
El liquen plano oral (LPO) es un trastorno mucocutáneo inflamatorio crónico mediado por células T. Las lesiones orales suelen ser crónicas, no remisivas y pueden ser una fuente de morbilidad. El tratamiento va enfocado a eliminar las úlceras, aliviar los síntomas y reducir el riesgo de una posible malignización. Reporte de caso: Mujer de 36 de años que presenta gingivitis descamativa y múltiples áreas erosivas muy dolorosas en mucosa oral, 7 meses de evolución, antecedente de psoriasis con lesiones activas en piel. Se realiza una minuciosa anamnesis, exámenes de laboratorio y biopsia, confirmando el diagnóstico de LPO. Se le brindó tratamiento con corticoesteroides sistémicos y láser terapia, seguimiento nutricional, odontología y dermatología. Conclusiones: Se demuestra la importancia del reconocimiento y manejo integral del LPO. La terapia combinada de corticoesteroides sistémicos y láser terapia resultaron ser efectivos mejorando sustancialmente la calidad de vida de la paciente con psoriasis cutánea.
Oral lichen planus (OLP) is a chronic inflammatory mucocutaneous disorder mediated by T cells. Oral lesions are usually chronic, non-remissive and can be a source of morbidity. Treatment is focused on eliminating ulcers, alleviating symptoms, and reducing the risk of possible malignancy. Case report: A 36-year-old woman with desquamative gingivitis and multiple very painful erosive areas on the oral mucosa, 7 months of evolution, a history of psoriasis with active skin lesions. A thorough anamnesis, laboratory tests and biopsy are performed, confirming the diagnosis of OLP. Treatment with systemic corticosteroids and laser therapy, nutritional monitoring, dentistry and dermatology were provided. Conclusions: The importance of the recognition and integral management of the OLP is demonstrated. The combined therapy of systemic corticosteroids and laser therapy proved to be effective in substantially improving the quality of life of the patient with cutaneous psoriasis.
Oral lichen planus (OLP) is a chronic inflammatory mucocutaneous disorder mediated by T cells. Oral lesions are usually chronic, non-remissive and can be a source of morbidity. Treatment is focused on eliminating ulcers, alleviating symptoms, and reducing the risk of possible malignancy. Case report: A 36-year-old woman with desquamative gingivitis and multiple very painful erosive areas on the oral mucosa, 7 months of evolution, a history of psoriasis with active skin lesions. A thorough anamnesis, laboratory tests and biopsy are performed, confirming the diagnosis of OLP. Treatment with systemic corticosteroids and laser therapy, nutritional monitoring, dentistry and dermatology were provided. Conclusions: The importance of the recognition and integral management of the OLP is demonstrated. The combined therapy of systemic corticosteroids and laser therapy proved to be effective in substantially improving the quality of life of the patient with cutaneous psoriasis.
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Palabras clave
Psoriasis, Liquen plano, Mucosa oral, Mucocutáneo, Diagnóstico clínico, Biopsia, Lichen planus, Oral mucosa, Mucocutaneous, Clinical diagnosis, Biopsy