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jsmc-10033


Case Report

MANAGEMENT OF ATROPHIC-EROSIVE GINGIVAL LICHEN PLANUS WITH TOPICAL AND SYSTEMIC CORTICOSTEROID THERAPY, A CASE REPORT

Shanaz Mohammad Gaphor * and Mustafa Jamel Abdullah **


*   Oral Medicine Clinic, School of Dentistry, University of Sulaimani.
** Oral Medicine Clinic, school of dentistry, University of Sulaimani.


Submitted: 17/7/2012; Accepted: 8/2/2013


ABSTRACT

The gingiva is a target of autoimmune diseases and about 10% of patients with oral lichen planus have the disease confined to the gingiva, clinically named desquamative gingivitis. The purpose of this paper is to describe 59 year-old female with atrophic-erosive gingival lichen planus that was presented to the Department of Oral Diagnosis, School of Dentistry at Sulaimani University service for evaluation of persistent pain, associated soreness and burning of her gingiva for 3-4 years, which were localized for anterior maxillary region. The histopathological examination confirmed the diagnosis of atrophic-erosive oral lichen planus. The treatment prescribed for the patient was topical and systemic corticosteroid (prednisolone). Substantial improvement was observed in the gingival lesion with reduction in erythema in some regions and complete resolution of pain. The results presented allow the authors to consider the association between local and systemic corticosteroid as a potential therapy for atrophic-erosive gingival lichen planus.


KEYWORDS

Lichen planus, Corticosteroid, Prednisolone.