Abstract :
Objectives: The purpose of this clinical prospective study was to determine the location, clinical presentation, and gender distribution of oral lichen planus patients attending the department of oral medicine and radiology, Government dental college Srinagar in Kashmiri population.
Materials and Methods: This prospective clinical study included 200 patients reported to the Department of Oral Medicine and Radiology, Government Dental College Srinagar, with the clinical and pathological diagnosis of OLP. Data was compiled for each case, documenting information relating to age, gender, medication, habits(smoking, oral hygiene), anamnesis (reason for consultation, symptomatology, evolution.
Results: Out of 200 patients, 116 (58%) were females and 84(42%) were males indicating higher prevalence of OLP in females. Buccal mucosa being the most common site affected in 132 patients (66%), followed by tongue in 46 patients (23%) and the least frequent involved site was palate in 2 patients (1%).The most common clinical presentation was of reticular type in 128 patients (64%), and the least common was bullous type in 3 patients (1.5%).
Conclusion: Lichen planus is one of the mucocutaneous disorders which involve skin, scalp, nails and oral mucosa. Lichen planus of skin is known as cutaneous lichen planus that is characterized by most common symptoms of pigmented cutaneous lesions which are pruritic. For a general practitioner it is very important to know the important clinical features, diagnosis and treatment plan for this disease in order to differentiate it from other mucocutaneous lesions and to educate the patient about the premalignant nature of disease.
Keyword :
Greenspan syndrome, Wickham striae, Nikolsky’s sign.