Original article | Volume 29, Article 74, 24 Jan 2018 | 10.11604/pamj.2018.29.74.14546

Oral lichen planus and HPV lesions

Cinzia Casu, Luca Vigaṇ

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

Received: 05 Dec 2017 - Accepted: 20 Dec 2017 - Published: 24 Jan 2018

Domain: Stomatology

Keywords: Oral lichen planus, oral HPV lesions, oral leucoplakia

©Cinzia Casu 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: Cinzia Casu et al. Oral lichen planus and HPV lesions. Pan African Medical Journal. 2018;29:74. [doi: 10.11604/pamj.2018.29.74.14546]

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

Home | Volume 29 | Article number 74

Original article

Oral lichen planus and HPV lesions

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

Oral lichen planus and HPV lesions

Original article

Oral lichen planus and HPV lesions

Original article

Oral lichen planus and HPV lesions

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Key words

Oral lichen planus

Oral HPV lesions

Oral leucoplakia

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Oral lichen planus and HPV lesions