Original article | Volume 24, Article 330, 30 Aug 2016 | 10.11604/pamj.2016.24.330.9378

Oral lichenoid reaction to tobacco

Prashanth Panta, Uday Shankar Yaga

Corresponding author: Prashanth Panta, Department of oral Medicine and Radiology, MNR Dental College and Hospital, Narsapur Road, Sangareddy, Telangana, India

Received: 20 Mar 2016 - Accepted: 03 Apr 2016 - Published: 30 Aug 2016

Domain: Clinical medicine

Keywords: Smokeless tobacco, lichen planus, lichenoid reaction

©Prashanth Panta et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Prashanth Panta et al. Oral lichenoid reaction to tobacco. Pan African Medical Journal. 2016;24:330. [doi: 10.11604/pamj.2016.24.330.9378]

Available online at: https://www.panafrican-med-journal.com/content/article/24/330/full

Home | Volume 24 | Article number 330

Original article

Oral lichenoid reaction to tobacco

Oral lichenoid reaction to tobacco

Prashanth Panta1,&, Uday Shankar Yaga1

 

1Department of oral Medicine and Radiology, MNR Dental College and Hospital, Narsapur Road, Sangareddy, Telangana, India

 

 

&Corresponding author
Prashanth Panta, Department of oral Medicine and Radiology, MNR Dental College and Hospital, Narsapur Road, Sangareddy, Telangana, India

 

 

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A 55 year old male patient came for routine dental examination. History revealed that he was a heavy tobacco chewer for the past 20 years. During examination, several radiating white lines were found on top of a slightly grey background, in relation to the right buccal mucosa. The location of the lesion clearly coincided with the site of placement of quid. A differential diagnosis of lichen planus, oral lichenoid reaction and discoid lupus erythematosis were considered. On microscopic examination, there was focal perivascular infiltrate and plasma cells in the connective tissue. After correlating clinically, a diagnosis of "lichenoid reaction" was confirmed. Oral lichenoid reactions (OLR) can occur as a result of contact of an irritant such as tobacco. OLR to tobacco and betel nut products presents as a unilateral, wavy, nonelevated, non scrapable white lesion. These lines are arranged in tree like configurations or in the form of a lacy network- Wickham's striae. Wickham's striae most often are a diagnostic sign of lichen planus and lichenoid reaction.

 

 

Figure 1: arrows pointing a white lacy network pattern on a grey background

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

Oral lichenoid reaction to tobacco

Original article

Oral lichenoid reaction to tobacco

Original article

Oral lichenoid reaction to tobacco

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Smokeless tobacco

Lichen planus

Lichenoid reaction

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