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Tropical Dental Journal - 1st Pan African international dental journal


Tropical Dental Journal



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Published in French in Tropical Dental Journal Volume 36 - September 2013 pages 26-30

Erosive oral lichen planus: case reportErosive oral lichen planus: case report est évalué 2.5 étoiles par les abonnés Tropical Dental Journal Online

Authors : L. Essama Eno Belinga, A. Njifou, S. Ananga Noa, G.R. Ateba, W. Bell Ngan - Cameroon


Résumé

Le lichen plan buccal érosif est une affection muqueuse de la cavité buccale. Affection rare chez des sujets noirs et asiatiques d'étiologie encore mal connue, il est à l'origine d'une symptomatologie allant des douleurs brûlantes pendant les repas jusqu'à l'incapacité d'absorber des aliments solides ou d'assurer une hygiène buccale adéquate. Son diagnostic est avant tout clinique, puis confirmé par un examen histopathologique. L'évolution chronique et récidivante de certaines formes peut provoquer une dégénérescence maligne d'où l'importance d'être connu par tout médecin-dentiste en regard des autres affections buccales. Aucun traitement curatif n'est actuellement disponible bien que certaines mesures immuno-modulatrices puissent contribuer à atténuer ou à soulager ses symptômes.
Nous rapportons ici le seul cas de lichen plan buccal érosif reçu et pris en charge au service de stomatologie de l'Hôpital général de Douala au cours de ces 10 dernières années et dont l'étiologie est discutée.

Abstract
Erosive oral lichen planus: case report

Erosive oral lichen planus (EOLP) is a chronic inflammatory disease of unknown etiology associated with cell-mediated immunological dysfunction. Rare among Blacks and Asian subjects, it is at the origin of symptoms ranging from burning pain during meals up to the inability to absorb solid foods or to ensure adequate oral hygiene. Its diagnosis is before all clinical, then confirmed by histopathological examination. Chronic and recurrent forms developments can cause malignant transformation where the importance of being known by any clinicians compared to other oral diseases. Treatment is difficult and aimed at palliation rather than cure.
We report the only case of erosive oral lichen planus received and supported in the service of Stomatology of General Hospital in Douala during the last ten years and whose etiology is discussed.

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