口腔扁平苔癬130例の臨床的検討  [in Japanese] Clinical Analysis in 130 Cases of Oral Lichen Planus  [in Japanese]

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Author(s)

    • 太田 耕司 OHTA KOUJI
    • 広島大学大学院医歯薬保健学研究科医歯薬学専攻歯学講座口腔外科学 Department of Oral and Maxillofacial Surgery, Division of Dental Sciences Biomedical Sciences Major Graduate School of Biomedical & Health Sciences, Hiroshima University
    • 武知 正晃 TAKECHI MASAAKI
    • 広島大学大学院医歯薬保健学研究科医歯薬学専攻歯学講座口腔外科学 Department of Oral and Maxillofacial Surgery, Division of Dental Sciences Biomedical Sciences Major Graduate School of Biomedical & Health Sciences, Hiroshima University
    • 鳴瀬 貴子 NARUSE TAKAKO
    • 広島大学大学院医歯薬保健学研究科医歯薬学専攻歯学講座口腔外科学 Department of Oral and Maxillofacial Surgery, Division of Dental Sciences Biomedical Sciences Major Graduate School of Biomedical & Health Sciences, Hiroshima University
    • 島末 洋 SHIMASUE HIROSHI
    • 広島大学大学院医歯薬保健学研究科医歯薬学専攻歯学講座口腔外科学 Department of Oral and Maxillofacial Surgery, Division of Dental Sciences Biomedical Sciences Major Graduate School of Biomedical & Health Sciences, Hiroshima University
    • 小野 重弘 ONO SHIGEHIRO
    • 広島大学大学院医歯薬保健学研究科医歯薬学専攻歯学講座口腔外科学 Department of Oral and Maxillofacial Surgery, Division of Dental Sciences Biomedical Sciences Major Graduate School of Biomedical & Health Sciences, Hiroshima University
    • 水田 邦子 MIZUTA KUNIKO
    • 広島大学大学院医歯薬保健学研究科医歯薬学専攻歯学講座口腔外科学 Department of Oral and Maxillofacial Surgery, Division of Dental Sciences Biomedical Sciences Major Graduate School of Biomedical & Health Sciences, Hiroshima University
    • 加藤 大喜 KATO HIROKI
    • 広島大学大学院医歯薬保健学研究科医歯薬学専攻歯学講座口腔外科学 Department of Oral and Maxillofacial Surgery, Division of Dental Sciences Biomedical Sciences Major Graduate School of Biomedical & Health Sciences, Hiroshima University
    • 東川 晃一郎 HIGASHIKAWA KOICHIRO
    • 広島大学大学院医歯薬保健学研究科医歯薬学専攻歯学講座口腔外科学 Department of Oral and Maxillofacial Surgery, Division of Dental Sciences Biomedical Sciences Major Graduate School of Biomedical & Health Sciences, Hiroshima University
    • 古庄 寿子 FURUSHO HISAKO
    • 広島大学大学院医歯薬保健学研究科医歯薬学専攻歯学講座口腔顎顔面病理病態学研究室 Department of Oral and Maxillofacial Pathobiology, Division of Dental Sciences Biomedical Sciences Major Graduate School of Biomedical & Health Sciences, Hiroshima University
    • 小川 郁子 OGAWA IKUKO
    • 広島大学病院口腔検査センター Center of Oral Clinical Examination, Hiroshima University Hospital, Hiroshima

Abstract

Oral lichen planus (OLP), which often affects middle-aged adults, is a disorder of unknown etiology, and is defined as a precancerous condition. We report a clinical analysis of 130 cases diagnosed histopathologically as OLP or suspected OLP in this study.<br>Prediction with regard to gender was noted in 36 males and 94 females with the average age at diagnosis of 65 years. The most frequent chief complaint at the initial examination was contact pain (47.0%), followed by white and/or red lesions without symptoms, discomfort, and burning sensation. Although the majority of cases (88.8%) were clinically diagnosed as OLP, some cases were diagnosed as leukoplakia and pemphigus. The most frequently affected site was buccal mucosa (30.7%), followed by alveolar gingiva and gingivobuccal fold. Reticular/plaque-like type (55.4%) was the most common among the three visual phenotypes. Presence of <i>Candida </i>spp. from an oral swab was examined in 30 cases of OLP patients, and was isolated in 11 cases (36.7%). Although OLP is relatively easy to diagnose on the basis of its characteristic appearance, some cases are diagnosed as other diseases such as leukoplakia and pemphigus, suggesting the difficulty of clinically confirming the diagnosis. Further, it is necessary to pay attention when treating patients with OLP in the presence of <i>Candida </i>spp.

Journal

  • Japanese Journal of Oral Diagnosis / Oral Medicine

    Japanese Journal of Oral Diagnosis / Oral Medicine 30(2), 151-156, 2017

    The Japanese Society of Oral Diagnosis / Oral Medicine

Codes

  • NII Article ID (NAID)
    130007040172
  • Text Lang
    JPN
  • ISSN
    0914-9694
  • Data Source
    J-STAGE 
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