MANAGEMENT OF EROSIVE ORAL LICHEN PLANUS ASSOCIATED WITH CHRONIC HEPATITIS C.

J Ayub Med Coll Abbottabad

University of Monastir, Faculty of Dental Medicine, 5019 Monastir-Tunisia Department of Oral Surgery and Oral Medicine, Dental Medicine University Clinic of Monastir, Monastir-Tunisia Research Laboratory of Oral Health and Oral Rehabilitation LR12ES11, Faculty of Dental Medicine, University of Monastir-Tunisia.

Published: December 2024

AI Article Synopsis

  • Hepatic disorders often progress silently and are usually detected only when liver function is significantly impaired, making early diagnosis challenging.
  • Oral lichen planus (OLP) is frequently associated with Hepatitis C and can serve as an early warning sign for the disease, particularly in patients with chronic HCV infection.
  • This case report highlights the importance of dentists in diagnosing and managing OLP, emphasizing their role in treatment and the potential for early hepatitis C screening, as demonstrated by a female patient who achieved full remission through topical corticosteroids and oral sanitation.

Article Abstract

Hepatic disorders are generally silent, with slow progress, and are usually detected when the organ's function is severely affected. Several studies have shown that oral lichen planus (OLP) is one of the most Hepatitis C-associated diseases. The emergence of such an extrahepatic manifestation is frequent and can lead to an early diagnosis. Patients with chronic hepatitis C virus (HCV) infection exhibit extensive forms of OLP, with frequent periods of exacerbation of symptoms refractory to treatment, which is commensurate with the severity of the liver disease. When treating OLP in HCV patients, researchers have diverged results. This case report presents an extensive, erosive OLP in an HCV-positive female patient for whom clinical management was tremendous. Full remission was obtained after topical corticosteroid application and several sessions of oral cavity sanitation. This clinical case demonstrates that dentists play a major role in OLP diagnosing, managing, and malignant transformation preventing. They may also contribute to the screening of hepatitis C infection.

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Source
http://dx.doi.org/10.55519/JAMC-03-12370DOI Listing

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