Oral lichen planus and HPV lesions
Cinzia Casu, Luca Vigaṇ
The Pan African Medical Journal. 2018;29:74. doi:10.11604/pamj.2018.29.74.14546

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Oral lichen planus and HPV lesions

Cite this: The Pan African Medical Journal. 2018;29:74. doi:10.11604/pamj.2018.29.74.14546

Received: 05/12/2017 - Accepted: 20/12/2017 - Published: 24/01/2018

Key words: Oral lichen planus, oral HPV lesions, oral leucoplakia

© Cinzia Casu et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/29/74/full

Corresponding author: Cinzia Casu, Private Dental Practice, Cagliari, Italy (ginzia.85@hotmail.it)


Oral lichen planus and HPV lesions

Cinzia Casu1,&, Luca Vigaṇ2

 

1Private Dental Practice, Cagliari, Italy, 2University of Milan, Department of Radiology, Milano, Italy

 

 

&Corresponding author
Cinzia Casu, Private Dental Practice, Cagliari, Italy

 

 

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A 42 years old male patient went to our observation for a white lesion in the left cheek presented 5 months ago. He reported general good health, a previous diagnosis of genital lichen planus. During the clinical examination we observed a white not scrapable lesion of 3 cm in the left cheek and 2 small esophitic lesions in the gingival tissue near the retromolar trigone, with cauliflower shape. The lesions is not linked with a traumatic event and we decided to make an incisional biopsy and 2 excisional biopsies for esophitic lesions on the gingiva, with a temporary diagnosis of leukoplakia and HPV squamous papilloma. The histological examination confirms instead the presence of an oral plaque lichen planus, without signs of dysplasia and the presence of 2 squamous papillomas on the tissue removed in the gingival. It is the first documented case in literature of an oral lichen planus which occurs many years after genital lesions, rare in a male subject. In addition, the simultaneous presence of HPV lesions in the same oral anatomic region is particular. Treatment includes topical therapy with podophyllin for HPV lesions or surgical excision and medical treatment of lichen planus with topical cortisones, immunosuppressants or aloe vera-based gels.

 

 

Figure 1: oral lichen planus and in the cheek and HPV gengival lesions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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ISSN: 1937-8688. © 2018 - Pan African Medical Journal. All rights reserved