Childhood lichenoid granulomatous stomatitis:a case report and literature review
10.12016/j.issn.2096-1456.2024.02.008
- VernacularTitle:儿童苔藓样肉芽肿性口炎1例报道及文献回顾
- Author:
Jing XU
1
;
Ronghui XIA
;
Lianyi YANG
;
Xuemin SHEN
;
Guanhuan DU
Author Information
1. 上海交通大学医学院附属第九人民医院口腔黏膜病科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海(200011)
- Keywords:
oral lichenoid lesions;
lichenoid granulomatous stomatitis;
oral lichen planus;
oral lichenoid drug reaction;
oral lichenoid contact lesion;
oral lichenoid lesion of graft-versus-host disease;
chronic ulcerative stomati-tis;
lichen planus pemphigoides;
child
- From:
Journal of Prevention and Treatment for Stomatological Diseases
2024;32(2):137-142
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the classification,clinical manifestations,diagnosis,differential diagnosis and treatment of oral lichenoid lesions and provide a reference for clinical practice.Methods Hospital ethical approval and patient informed consent were obtained.We report a case of oral lichenoid lesion in children and review the diagno-sis and treatment of oral lichenoid damage in the literature.Results The patient experienced repeated rupture of the dorsal surface of the tongue with pain for more than 3 years.There was a large area of tongue back surface erosion with an irregular shape,surrounded by pearly-white lines.The left erosive area was accompanied by tissue hyperplasia,which was approximately 1.5 cm × 2.0 cm,with tough texture and broad masses.The pathological diagnosis of the pa-tient was oral lichenoid lesion.After biopsy of the dorsal surface of the tongue,the pathological diagnosis of the patient was granulomatous inflammation.The final diagnosis of lichenoid granulomatous stomatitis was made on the basis of the patient's intraoral damage features,systemic history,medication history and histopathological findings.A review of the literature suggests that oral lichenoid lesions have an unknown etiology and need to be clinically differentiated from oral lichen planus,oral lichenoid drug reactions,oral lichenoid contact damage and chronic ulcerative stomatitis.The clini-cal treatment of oral lichen planus is based on the topical and/or systemic use of glucocorticoids.Conclusion There are still no uniform criteria for the classification and diagnosis of oral lichenoid lesions.They rely mainly on history tak-ing,clinical manifestations and histopathological findings,and the treatment is mainly based on the topical and/or sys-temic use of glucocorticoids.
- Full text:儿童苔藓样肉芽肿性口炎1例报道及文献回顾.pdf
