Oral liken planus ve oral likenoid reaksiyonlar: Dental seri yama testi sonuçlarının retrospektif olarak değerlendirilmesi

Abstract

Amaç Oral liken planus (OLP) ve oral likenoid reaksiyonlar (OLR) dental işlemlere ikincil ortaya çıkabilir. Dental seri yama testi, ilgili alerjenin belirlenmesine rehberlik edebilecek basit bir tanı yöntemidir. Bu çalışmada OLP ve OLR hastalarında dental seri yama testi sonuçlarının değerlendirilmesi amaçlanmıştır. Yöntem Klinik ve/veya histopatolojik olarak OLP veya OLR tanısı almış ve Ocak 2015 ile Ocak 2021 arasında dermatoloji kliniğimizde dental seri yama testi yapılan hastaların tıbbi kayıtlarının retrospektif bir incelemesi yapıldı. Bulgular Toplamda, OLP (n=14, %38.9) veya OLR (n=22, %61.1) tanısı alan 36 hasta dahil edildi, bunların 15’inde (% 41.7) yama testi pozitifti. Başvuru anındaki ortalama yaş 54.6 yıldı (28-72 yaş aralığı). Hastalık süresi ortalama 21.9 aydı (1-144 ay aralığı). Yama testlerindeki pozitif bulgular, OLR hastalarında OLP hastalarına göre yaklaşık üç kat daha yüksekti. En sık pozitif reaksiyon (n = 6) altın (I) sodyum tiyosülfat dihidrata karşı tespit edildi. Alışkanlıklar (sigara, alkol) ve komorbiditeler, yama testi sonuçlarıyla önemli ölçüde ilişkili değildi. Sonuç Yama testi ile temas alerjilerinin tespitinin, diş restorasyonları gibi ilişkili değişikliklere yönelik kararlara rehberlik edebileceğini düşünüyoruz.

Keywords

• dental seri
• oral liken planus
• oral likenoid reaksiyon
• yama testi

Oral lichen planus and oral lichenoid reactions: a retrospective evaluation of patch test results with dental series

Abstract

Objective Oral lichen planus (OLP) and oral lichenoid reactions (OLR) may occur secondary to dental procedures. Patch testing with the dental series is a simple diagnostic method that can guide the identification of the relevant allergen. In this study, it was aimed to evaluate the patch test results with dental series in OLP and OLR patients. Methods A retrospective review of the medical records of patients who were clinically and/or histopathologically diagnosed with OLP or OLR and, who underwent dental series patch testing at our dermatology clinic in between January 2015 and January 2021 was performed. Results In total, 36 patients with a diagnosis of OLP (n=14, 38.9%) or OLR (n=22, 61.1% ) were included, 15 of whom (41.7%) had positive patch test results. The mean age at presentation was 54.6 years (range 28-72 years). The duration of the disease was 21.9 (range 1-144 months) months on average. Positive findings on patch tests were approximately three times higher in OLR patients than in OLP patients. Gold(I) sodium thiosulfate dihydrate was the most frequent positive reaction (n=6) detected against. Habits (smoking, alcohol) and comorbidities were not significantly associated with the patch test results. Conclusion Detection of allergens with patch test is a helpful diagnostic method for effective control of the disease in both OLP and OLL patients. We think that the detection of contact allergies with patch testing may guide decisions regarding related changes such as dental restorations.

Keywords

• dental series
• oral lichen planus
• oral lichenoid reactions
• patch test

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