Lichen planus affecting a 12-year-old girl

Natalie Kelner, Ana Paula Vivas, Rosana Morelatto, Fabio Alves

ACCamargo Hospital, S?o Paulo, Brazil.
National University of Córdoba, Córdoba, Brazil.
University of Sao Paulo, Sao Paulo, Brazil.

DOI: 10.4236/ojst.2012.24061                

Abstract

Lichen planus (LP) is a chronic inflammatory mucocutaneous condition which is relatively common in adults but rarely affects children. In addition, few cases with oral lesions affecting children have been reported in the literature. The purpose of this study is to report an unusual case of oral LP involving the tongue and buccal mucosa in a child. A 12-year-old girl complained of painless oral lesions with 18 months of evolution. On clinical evaluation, multiple white lesions in tongue and buccal mucosa were observed with no cutaneous lesions. Diagnosis was made based on clinical examination and histopathological features. No active treatment was necessary. The patient is currently under regular evaluation. Although rarely reported in childhood, lichen planus should be considered in a differential diagnosis of hyperkeratotic and/or reticular lesions of the oral mucosa in children.

Keywords

Lichen Planus; Oral; Oral Diagnosis; Child; Diagnosis; Differential

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Van der Meij, E.H. and Van der Waal, I. (2003) Lack of clinicopathologic correlation in the diagnosis of oral lichen planus based on the presently available diagnostic criteria and suggestions for modifications. Journal of Oral Pathology and Medicine, 32, 507-512. doi:10.1034/j.1600-0714.2003.00125.x
[2]	Scully, C., de Almeida, O.P. and Wellbury, R. (1994) Oral lichen planus in childhood. British Journal of Dermatology, 134, 131-133. doi:10.1111/j.1365-2133.1994.tb06905.x
[3]	Alam, F. and Hamburger, J. (2001) Oral mucosal lichen planus in children. International Journal of Paediatric Dentistry, 11, 209-214. doi:10.1046/j.1365-263X.2001.00266.x
[4]	Laeijendecker, R., Joost, T.V., Tank, B., et al. (2005) Oral lichen planus in childhood. Pediatric Dermatology, 22, 299-304. doi:10.1111/j.1525-1470.2005.22403.x
[5]	Eisen, D. (2002) The clinical features, malignant potential, and systemic associations of oral lichen planus: A study of 723 patients. Journal of the American Academy of Dermatology, 46, 207-214. doi:10.1067/mjd.2002.120452
[6]	Cottoni, F., Ena, P., Tedde, G., et al. (1993) Lichen planus in children: A case report. Pediatric Dermatology, 10, 132-135. doi:10.1111/j.1525-1470.1993.tb00038.x
[7]	Walton, K.E., Bowers, E.V., Drolet, B.A., et al. (2010) Childhood lichen planus: Demographics of US population. Pediatric Dermatology, 27, 34-38. doi:10.1111/j.1525-1470.2009.01072.x
[8]	Ramsay, D.L. and Hurley, H.J. (1985) Papulosquamous eruptions and exfoliative dermatitis. In: Moschella, S.L. and Hurley, H.J., Eds., Dermatology, Vol. 1, 2nd Edition, W.B. Saunders, Philadelphia, 529-535.
[9]	Pakfetrat, A., Javadzadeh-Bolouri, A., Basir-Shabestari, S., et al. (2009) Oral lichen planus: A retrospective study of 420 Iranian patients. Medicina Oral Patologia Oral y Cirurgia Bucal, 14, E315-E318.
[10]	Kanwar, A.J. and Belhaj, M.S. (1984) Lichen planus among Arabs—A study from Libya. The Journal of Dermatology, 11, 93-96.
[11]	Sharma, R. and Maheshwari, V. (1999) Childhood lichen planus: A report of fifty cases. Pediatric Dermatology, 16, 345-348. doi:10.1046/j.1525-1470.1999.00074.x
[12]	Kanwar, A.J. and D. De (2010) Lichen planus in childhood: Report of 100 cases. Clinical and Experimental Dermatology, 35, 257-262. doi:10.1111/j.1365-2230.2009.03613.x
[13]	Balamasubramanian, P., Ogboli, M. and Moss, C. (2008) Lichen planus in children: Review of 126 cases. Clinical and Experimental Dematology, 33, 457-459. doi:10.1111/j.1365-2230.2008.02694.x
[14]	Handa, S. and Sahho, B. (2002) Childhood lichen planus: A study of 87 cases. International Journal of Dermatology, 41, 423-427. doi:10.1046/j.1365-4362.2002.01522.x
[15]	Al-Hashimi, I., Schifter, M., Lockhart, P.B., et al. (2007) Oral lichen planus and oral lichenoid lesions: Diagnostic and therapeutic considerations. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 103, e1-e12.
[16]	Yiannias, J.A., El-Azhary, R.A., Hand, J.H., et al. (2000) Relevant contact sensitivities in patients with the diagnosis of oral lichen planus. Journal of the American Academy of Dermatology, 42, 177-182. doi:10.1016/S0190-9622(00)90123-3