Lichen planus Flashcards
(7 cards)
1
Q
What is lichen planus ?
A
Immune cell mediated basal keratinocyte destruction
2
Q
What are the presentations of oral lichen planus ?
A
- Reticular
- Atrophic
- Papular
- Erosive
- Plaque like
- Bullous
3
Q
What is the risk of malignancy of lichen planus?
A
1% over 10 years
4
Q
What drugs might cause OLR?
A
- Antihypertensives
- Antimalarials
- NSAIDs
- Allopurinol
- Lithium
5
Q
Systemic disease that might contribute to OLR?
A
LUPUS
6
Q
What materials might caus OLR
A
- Metals
- Composite?
7
Q
Management of OLP/OLR
A
Symptomatic relief
1. HSMW
2. Benzyamine or lidocaine
3. Avoid triggers ; Spicy food and fizzy drinks
4. Steroid mouthwash
5. Replace fillings
6. Refer to OS for biopsy
7. review regularly if in primary care
8. inform of increased risk of cancer
