Lichen planus sialadenitis: a mucosal analog of lichen planopilaris and lichen planoporitis. 2010

Silvia Vanessa Lourenço, and Ana Cristina Brandão Resende, and Sheyla Batista Bologna, and Marcello Menta Simonsen Nico
Department of General Pathology, Dental School, University of São Paulo, São Paulo, Brazil. silvialourenco.70@terra.com.br

Lichen planus (LP) is the most prevalent dermatological disorder with oral manifestation. Oral lesions comprise a broad spectrum of clinical presentations. We report the case of a 56-year-old woman who presented erosive LP on the buccal and lower lip mucosae. Besides typical erosions, small white keratotic papules on an erythematosus background on the lower lip mucosa were observed. Biopsy of lower lip lesions showed an unusual histopathological presentation consisting of a lichenoid inflammation targeted to salivary gland ducts. This is probably a salivary gland analog of lichen planopilaris and lichen planoporitis.

UI MeSH Term Description Entries
D008010 Lichen Planus An inflammatory, pruritic disease of the skin and mucous membranes, which can be either generalized or localized. It is characterized by distinctive purplish, flat-topped papules having a predilection for the trunk and flexor surfaces. The lesions may be discrete or coalesce to form plaques. Histologically, there is a "saw-tooth" pattern of epidermal hyperplasia and vacuolar alteration of the basal layer of the epidermis along with an intense upper dermal inflammatory infiltrate composed predominantly of T-cells. Etiology is unknown. Cutaneous Lichen Planus,Lichen Planopilaris,Lichen Ruber Planus,Mucosal Lichen Planus,Lichen Rubra Planus,Lichen Planus, Cutaneous,Lichen Planus, Mucosal,Planopilaris, Lichen
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009059 Mouth Diseases Diseases involving the MOUTH. Disease, Mouth,Diseases, Mouth,Mouth Disease
D009061 Mouth Mucosa Lining of the ORAL CAVITY, including mucosa on the GUMS; the PALATE; the LIP; the CHEEK; floor of the mouth; and other structures. The mucosa is generally a nonkeratinized stratified squamous EPITHELIUM covering muscle, bone, or glands but can show varying degree of keratinization at specific locations. Buccal Mucosa,Oral Mucosa,Mucosa, Mouth,Mucosa, Oral
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012793 Sialadenitis INFLAMMATION of salivary tissue (SALIVARY GLANDS), usually due to INFECTION or injuries. Sialitis,Adenitis, Salivary Gland,Chronic Sialadenitis,Irradiation-Induced Sialadenitis,Salivary Gland Inflammation,Sialoadenitis,Adenitides, Salivary Gland,Chronic Sialadenitides,Inflammation, Salivary Gland,Inflammations, Salivary Gland,Irradiation Induced Sialadenitis,Irradiation-Induced Sialadenitides,Salivary Gland Adenitides,Salivary Gland Adenitis,Salivary Gland Inflammations,Sialadenitides,Sialadenitides, Chronic,Sialadenitides, Irradiation-Induced,Sialadenitis, Chronic,Sialadenitis, Irradiation-Induced,Sialitides,Sialoadenitides

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