A rare unilateral widespread multiple forms of oral lichen planus: clinico-histopathologic evaluation and diagnostic considerations: A case Report
Elmezwghi, A., Elsagali, A., Zariba, S., Rih, I., Abuatwirat, R. (2017). A rare unilateral widespread multiple forms of oral lichen planus: clinico-histopathologic evaluation and diagnostic considerations: A case Report. EKB Journal Management System, 63(Issue 3 - July (Oral Medicine, X-Ray, Oral Biology & Oral Pathology)), 2305-2311. doi: 10.21608/edj.2017.75811
Abdurahman Musbah Elmezwghi; Abeer Hussen Elsagali; Salma S. Mo Zariba; Intesar Hassan Hussein Rih; Raga Abuatwirat. "A rare unilateral widespread multiple forms of oral lichen planus: clinico-histopathologic evaluation and diagnostic considerations: A case Report". EKB Journal Management System, 63, Issue 3 - July (Oral Medicine, X-Ray, Oral Biology & Oral Pathology), 2017, 2305-2311. doi: 10.21608/edj.2017.75811
Elmezwghi, A., Elsagali, A., Zariba, S., Rih, I., Abuatwirat, R. (2017). 'A rare unilateral widespread multiple forms of oral lichen planus: clinico-histopathologic evaluation and diagnostic considerations: A case Report', EKB Journal Management System, 63(Issue 3 - July (Oral Medicine, X-Ray, Oral Biology & Oral Pathology)), pp. 2305-2311. doi: 10.21608/edj.2017.75811
Elmezwghi, A., Elsagali, A., Zariba, S., Rih, I., Abuatwirat, R. A rare unilateral widespread multiple forms of oral lichen planus: clinico-histopathologic evaluation and diagnostic considerations: A case Report. EKB Journal Management System, 2017; 63(Issue 3 - July (Oral Medicine, X-Ray, Oral Biology & Oral Pathology)): 2305-2311. doi: 10.21608/edj.2017.75811

A rare unilateral widespread multiple forms of oral lichen planus: clinico-histopathologic evaluation and diagnostic considerations: A case Report

Egyptian Dental Journal
Article 3, Volume 63, Issue 3 - July (Oral Medicine, X-Ray, Oral Biology & Oral Pathology), July 2017, Page 2305-2311  XML PDF (1.31 MB)
Document Type: Original Article
DOI: 10.21608/edj.2017.75811
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Authors
Abdurahman Musbah Elmezwghi1; Abeer Hussen Elsagali2; Salma S. Mo Zariba3; Intesar Hassan Hussein Rih3; Raga Abuatwirat4
1Lecturer in Oral Pathology Department.
2Assisstant Prof. in Oral & Maxillofacial Surgery, Department
3Lecturer In Oral & Maxillofacial Surgery Department
4Assisstant Lecturer In Oral & Maxillofacial Surgery Department Faculty Of Dentistry / University Of Tripoli
Abstract
Lichen planus (LP) is a chronic disease of the skin and mucous membrane. Oral lichen planus (OLP), the mucosal counterpart of cutaneous lichen planus that presents with a variety of clinical features, about 25% present with oral lesions alone. Patients may develop white striations, white papules, white plaques, erythema, erosions, or blisters affecting predominantly the posterior buccal mucosa bilaterally. The clinical presentation of OLP ranges from mild painless white keratotic lesions to painful erosions and ulcerations. The diagnosis of OLP was based on history, clinical findings and histopathological features. There is no consensus on a single set of criteria for the diagnosis of OLP. Some investigators use only the clinical criteria, while others use both clinical and histopathologic criteria. Furthermore final diagnosis was confirmed by Immunohistochemical staining (IHC) with CD8 precursor cells. The possibility of this lesion to turn malignant justifies the importance of early definitive diagnosis and long term follow up for patients with such disease. 
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