Acquired White Oral Lesions with Specific Patterns: Oral Lichen Planus and Lupus Erythematosus.

Oral white lesions lichen planus lupus erythematosus mucoscopy

Journal

Dermatology practical & conceptual
ISSN: 2160-9381
Titre abrégé: Dermatol Pract Concept
Pays: Austria
ID NLM: 101585990

Informations de publication

Date de publication:
May 2021
Historique:
accepted: 08 02 2021
entrez: 14 6 2021
pubmed: 15 6 2021
medline: 15 6 2021
Statut: epublish

Résumé

Diagnosis of oral white lesions might be challenging. These lesions represent a wide spectrum of diseases with different etiology and prognosis. Oral white lesions can be categorized into two major groups, congenital and acquired, according to their development, and in four subgroups: lesions which can be scraped off or not and lesions with special pattern or not. The aim of this manuscript is to review, from diagnosis to treatment, the current knowledge on oral white lesions with specific pattern. A review on oral white lesions with specific pattern was conducted on PubMed and Scopus from inception to January 2021. Among acquired lesions with specific pattern two clinical entities are mostly represented: Oral lichenoid reactions and Lupus erythematosus. The etiology of both diseases is still not known but their pathogenesis is mainly immunological. At present the mucoscopic features of those disease have been described only in few case reports or case series. Immunomodulatory therapies are often the agents of choice for their treatment. The collaboration of dermatologists and dentists as a team is important for early diagnoses and effective treatments. Mucoscopy is a promising technique which may reveal important features for the differentiation of OLP and LE oral white lesions.

Sections du résumé

BACKGROUND BACKGROUND
Diagnosis of oral white lesions might be challenging. These lesions represent a wide spectrum of diseases with different etiology and prognosis. Oral white lesions can be categorized into two major groups, congenital and acquired, according to their development, and in four subgroups: lesions which can be scraped off or not and lesions with special pattern or not.
OBJECTIVES OBJECTIVE
The aim of this manuscript is to review, from diagnosis to treatment, the current knowledge on oral white lesions with specific pattern.
METHODS METHODS
A review on oral white lesions with specific pattern was conducted on PubMed and Scopus from inception to January 2021.
RESULTS RESULTS
Among acquired lesions with specific pattern two clinical entities are mostly represented: Oral lichenoid reactions and Lupus erythematosus. The etiology of both diseases is still not known but their pathogenesis is mainly immunological. At present the mucoscopic features of those disease have been described only in few case reports or case series. Immunomodulatory therapies are often the agents of choice for their treatment.
CONCLUSIONS CONCLUSIONS
The collaboration of dermatologists and dentists as a team is important for early diagnoses and effective treatments. Mucoscopy is a promising technique which may reveal important features for the differentiation of OLP and LE oral white lesions.

Identifiants

pubmed: 34123565
doi: 10.5826/dpc.1103a74
pii: dp1103a74
pmc: PMC8172054
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

e2021074

Informations de copyright

©2021 Manfredini et al.

Déclaration de conflit d'intérêts

Competing interests: The authors have no conflict of interest to declare.

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Auteurs

Marco Manfredini (M)

Dermatology Unit, Department of Surgical, Medical, Dental & Morphological Sciences with Interest in Transplant, Oncological & Regenerative Medicine, University of Modena & Reggio Emilia, Modena, Italy.

Gioia Pedroni (G)

Dermatology Unit, Department of Surgical, Medical, Dental & Morphological Sciences with Interest in Transplant, Oncological & Regenerative Medicine, University of Modena & Reggio Emilia, Modena, Italy.

Laura Bigi (L)

Dermatology Unit, Department of Surgical, Medical, Dental & Morphological Sciences with Interest in Transplant, Oncological & Regenerative Medicine, University of Modena & Reggio Emilia, Modena, Italy.

Roberto Apponi (R)

Dental Unit, Department of Surgical, Medical, Dental & Morphological Sciences with Interest in Transplant, Oncological & Regenerative Medicine, University of Modena & Reggio Emilia, Modena, Italy.

Alberto Murri Dello Diago (A)

Dental Unit, Department of Surgical, Medical, Dental & Morphological Sciences with Interest in Transplant, Oncological & Regenerative Medicine, University of Modena & Reggio Emilia, Modena, Italy.

Annunziata Dattola (A)

Dermatology Clinic, Department of Systems Medicine, Tor Vergata University, Rome, Italy.

Francesca Farnetani (F)

Dermatology Unit, Department of Surgical, Medical, Dental & Morphological Sciences with Interest in Transplant, Oncological & Regenerative Medicine, University of Modena & Reggio Emilia, Modena, Italy.

Giovanni Pellacani (G)

Dermatology Clinic, Department of Clinical, Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy.

Classifications MeSH