Bullous Type Lichen Planus: A Rare Case Report

Yıl 2022, , 348 - 352, 31.08.2022

İlknur Eninanç , Büşra Şahin , Fahretttin Göze

https://doi.org/10.22312/sdusbed.1035130

Öz

Objective: Oral bullous lichen planus (BLP) is an uncommon form of lichen planus that affects just 1% of the oral mucosa. It is seen in oral mucous, palate, buccal mucous, and occasionally in the tongue. The purpose of this case report is the importance of including lichen planus in the differential diagnosis of leukoplakia-like lesions.

Case: The presentation included lateral parts of the tongue, sublingual, and hyperkeratotic areas on the cheek, as well as asymptomatic bullous lichen planus phenomena, clinical and histological characteristics that have been present for 5 years. Systemic corticosteroid was given to the patient who had no skin symptoms.

Conclusion: Burning sensation, the BLP's common clinical symptom, which is infrequently observed in the oral mucosa, may not be visible in all patients. In addition, BLP can be confused with leukoplakia when observed in plaque form. Histopathological examination is mandatory for definitive diagnosis in terms of malignant potential

Anahtar Kelimeler

Bullous lichen planus, leukoplakia, white lesion

Büllöz Tip Liken Planus: Nadir Bir Olgu Sunumu

Öz

Amaç: Oral büllöz liken planus (BLP), liken planusun nadir görülen bir formu olup, oral mukozada %1 oranında görülmektedir. Oral mukozada damak, bukkal mukoza ve nadiren dilde görülür. Bu olgu sunumun amacı lökoplaki benzeri görülen lezyonların ayırıcı tanısında, liken planusun da bulundurulması gerektiğinin önemidir.

Olgu Raporu: Bu sunumda 5 yıldır var olan, dilin lateral kısımları, dil altı ve yanakta hiperkeratotik alanlar şeklinde izlenen asemptomatik büllöz liken planus olgusu, klinik ve histopatolojik özellikleri sunuldu. Herhangi bir cilt bulgusu olmayan hastaya sistemik kortikosteroid tedavisi başlandı.

Sonuç: Oral mukozada çok nadir olarak izlenen BLP’un yaygın klinik belirtisi olan yanma hissi her hastada görülmeyebilir. Ayrıca BLP plak formunda izlendiğinde lökoplaki ile karıştırılabilir. Malignite potansiyeli açısından kesin tanı için histopatolojik inceleme zorunlu olup, bu sayede doğru tanıya gitme süreci hızlandırılmalıdır.

Anahtar Kelimeler

Büllöz Liken Planus, lökoplaki, beyaz lezyon

Kaynakça

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