Lichen planus erosivus mucosae L43.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 08.08.2021

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Definition
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Mostly severe and chronic erosive variant of the Lichen planus mucosae with mostly extensive, red, painful erosions. Often the typical whitish net discoloration of the classical Lichen planus mucoae is missing.

Histology
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Dense band-like, predominantly lymphoid cell infiltrate; degeneration of the basal layer, focal parakeratosis. Signs of acanthosis, hypergranulosis and hyperkeratosis are absent.

Diagnosis
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Clinical findings, if necessary with signs of the classical Lichen planus mucosae (Wickham's stripes). Trial excision.

Differential diagnosis
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Lupus erythematodes chronicus discoides; secondary syphilis; contact allergy to dental alloy components such as gold, palladium, amalgam (Hg).

Therapy
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Progression/forecast
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The erosive lichen planus (the oral mucosa) is characterized by an extraordinary chronicity. It proves to be refractory to therapy. It is important to exclude activating factors (drugs, other autoimmune diseases).

Literature
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Incoming links (2)

Gingivitis; Lichen planus mucosae;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 08.08.2021