Dificultades en el tratamiento del liquen plano oral en paciente sistémicamente comprometido: reporte de caso y revisión de literatura
Fecha
2021
Tipo
artículo original
Autores
Boza Oreamuno, Yadira Vanessa
Mora Abarca, Fiorella
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Resumen
El liquen plano oral (LPO) es una enfermedad crónica inflamatoria e inmunomediada, que se presenta como lesiones orales bilaterales, simétricas con tres presentaciones clínicas principales: reticular, atrófico y erosivo. Se caracteriza clínicamente por dolor, sensación de ardor y malestar para las personas que lo padecen. Actualmente LPO se clasifica como un desorden oral potencialmente maligno. Se ha relacionado con numerosas connotaciones sistémicas como diabetes mellitus, hipertensión, síndrome metabólico, enfermedades de la tiroides, dolencias psicosomáticas, enfermedad hepática crónica y enfermedades gastrointestinales. El diagnóstico se realiza mediante exámenes clínicos e histológicos. Es una enfermedad no curable, los tratamientos se aplican buscando la reducción o desaparición del dolor asociado, así como mejorar el aspecto clínico de las lesiones de carácter erosivo-ulcerativo. El objetivo de este trabajo fue presentar por medio de un caso clínico las dificultades en el tratamiento de LPO en un paciente sistémicamente comprometido, resaltando la valoración integral del mismo, terapias farmacológicas fallidas, hasta disminuir la sintomatología y mejorar la calidad de vida del paciente.
ABSTRACT: Oral lichen planus (OLP) is a chronic inflammatory and immune-mediated disease that presents as bilateral, symmetrical oral lesions with three main clinical presentations: reticular, atrophic, and erosive. It is clinically characterized by pain, burning sensation, and discomfort for sufferers. Currently OLP is classified as a potentially malignant oral disorder. It has been associated with numerous systemic connotations such as diabetes mellitus, hypertension, metabolic syndrome, thyroid diseases, psychosomatic ailments, chronic liver disease, and gastrointestinal diseases. Diagnosis is made by clinical and histological examinations. It is a non-curable disease, the treatments are applied seeking the reduction or disappearance of the associated pain, as well as improving the clinical appearance of erosive-ulcerative lesions. The objective of this work was to present through a clinical case the difficulties in the treatment of OLP in a systemically compromised patient, highlighting the comprehensive assessment of the same, failed pharmacological therapies, until the symptomatology diminished and the patient's quality of life improved.
ABSTRACT: Oral lichen planus (OLP) is a chronic inflammatory and immune-mediated disease that presents as bilateral, symmetrical oral lesions with three main clinical presentations: reticular, atrophic, and erosive. It is clinically characterized by pain, burning sensation, and discomfort for sufferers. Currently OLP is classified as a potentially malignant oral disorder. It has been associated with numerous systemic connotations such as diabetes mellitus, hypertension, metabolic syndrome, thyroid diseases, psychosomatic ailments, chronic liver disease, and gastrointestinal diseases. Diagnosis is made by clinical and histological examinations. It is a non-curable disease, the treatments are applied seeking the reduction or disappearance of the associated pain, as well as improving the clinical appearance of erosive-ulcerative lesions. The objective of this work was to present through a clinical case the difficulties in the treatment of OLP in a systemically compromised patient, highlighting the comprehensive assessment of the same, failed pharmacological therapies, until the symptomatology diminished and the patient's quality of life improved.
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Palabras clave
Liquen plano, Diabetes mellitus, Dislipidemia, Hipertensión arterial, Tratamiento, Lichen planus, Mellitus diabetes, Dyslipidemia, Arterial hypertension, Treatment