Erosive Lichen Planus an Epigone of Erythema Multiformae – A Case Report

Author: Bhavithra Augusthian, Divyarani S., Christeffi Mabel R. and Vijayashree Raghavan

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Abstract

Oral lichen planus (OLP) is a chronic inflammatory disease with an unclear aetiology that affects the stratified squamous epithelium in the oral cavity. OLP affects 0.1% to 4% of the general population, with perimenopausal women being more likely to develop it. The oral cavity is impacted by several immune-mediated inflammatory mucocutaneous disorders; the majority of these diseases manifest with varied degrees of erosions, ulcers, and pain. Early and accurate diagnosis of such diseases is essential for patient treatment because they may have severe implications if not treated. This case report attempts to describe an ELP that mirrored erythema multiforme on a 54-year-old woman. On examination, features include flexor scarring, crustations over the lips, palmar crease erosion and plantar keratosis, dry flaky white lesions of the eyelids, and an annular pattern of papules in the groin and axillary region. On the buccal mucosae and dorsoventral surface of the tongue, there were many erosions with surface sloughing. Erosive lesions with bloody remnants were visible on the labial mucosae. Systemic steroids were administered to the patient, since there was no progression, systemic and oral topical immunosuppressants was given. The patient was under regular follow up for 3 months with no new complaints. The rate of healing and ability to ward off malignancy will both depend on an accurate diagnosis of the lesion.

Keywords

Erosive lichen planus, Oral lichen planus, erythema multiforme, Mimicking, mucocutaneous diseases

Conclusion

Oral lichen planus is a multifactorial disease and one of the most prevalent oral dermatological conditions that dentists commonly encounter in their practice. In this case report, it is noticed that erosive lichen planus occasionally mimics the characteristics of erythema multiforme. So, it is important to diagnose the lesion and administer proper medications at the earliest along with educating the patient and lifestyle modification to ensure a positive outcome.

References

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How to cite this article

Bhavithra Augusthian, Divyarani S., Christeffi Mabel R. and Vijayashree Raghavan (2023). Erosive Lichen Planus an Epigone of Erythema Multiformae – A Case Report. Biological Forum – An International Journal, 15(6): 536-539.