A case report of oral lichenoid lesions. Are patch tests necessary?

2020 ◽  
Vol 83 (1) ◽  
pp. 59-61
Author(s):  
Francisco J. Navarro‐Triviño ◽  
Paola M. Navarro‐Rivero ◽  
Ricardo Ruiz‐Villaverde
Keyword(s):  
Case Report ◽  
Patch Tests ◽  
Oral Lichenoid Lesions

A case report of oral lichenoid lesions related to cross‐reactivity between nickel and palladium

2021 ◽  
Author(s):  
Fumihiko Tsushima ◽  
Jinkyo Sakurai ◽  
Risa Shimizu ◽  
Hiroyuki Harada
Keyword(s):  
Case Report ◽  
Cross Reactivity ◽  
Oral Lichenoid Lesions

scholarly journals Oral Lichenoid Lesions Due to Nivolumab: A Case Report and Review of the Literature

2020 ◽  
Vol 26 (1) ◽  
pp. 56-62
Author(s):  
Tomohisa NAKAMURA ◽  
Yoshinori JINBU ◽  
Yasuyuki SHIBUYA ◽  
Toshio DEMITSU ◽  
Yoshiyuki MORI
Keyword(s):  
Case Report ◽  
Review Of The Literature ◽  
Oral Lichenoid Lesions

scholarly journals Healing of Oral Lichenoid Lesions following Replacement of Dental Amalgam Restorations with Feldspathic Ceramic Inlay-Onlay Restorations: Clinical Results of a Follow-Up Period Varied from Three Months up to Five Years

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Burcin Karatasli ◽  
Gokcen Karatasli ◽  
Ozgur Mete ◽  
Mehmet Ali Erdem ◽  
Abdulkadir Burak Cankaya
Keyword(s):  
Histopathological Examination ◽  
Close Contact ◽  
Complete Healing ◽  
Long Term Results ◽  
Complete Replacement ◽  
Patch Tests ◽  
Oral Lichenoid Lesions ◽  
Ceramic Inlay ◽  
Amalgam Restorations

Objective. Previous studies have shown the effect of amalgam removal on the healing of oral lichenoid lesions (OLLs); however, no specific replacement materials have been suggested. The present series evaluated long-term results following the complete replacement of amalgam restorations with feldspathic ceramic inlay-onlay restorations for a group of patients with OLLs whose lesions were suspected to be related to amalgam restorations.Materials and Methods. Twenty-four patients who had OLLs suspected to be related to their amalgam restorations were initially recruited. The patients underwent patch tests for a series of dental materials, in addition to clinical and histopathological examination. Sixteen (67%) of the 24 patients had their amalgam replaced with feldspathic ceramic inlay-onlay restorations and were examined within a follow-up period of 3 months to 5 years.Results. After 3 months of clinical follow-up, complete healing (63%) was noted in all patients with OLLs whose lesions were in only close contact with their amalgam restorations. Healing was significantly related to the combination of lesions with close contact with the amalgam restoration and a diagnosis of OLL (x2test, P=0.02).Conclusion. Feldspathic ceramic can be safely used as a replacement material for patients with OLLs to diminish adverse reactions to amalgam restorations.

scholarly journals P.2.17 Case report: three occupational diseases in a nail technician

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A92.1-A92
Author(s):  
Shlomo Moshe ◽  
Ayala Krakov
Keyword(s):  
Case Report ◽  
Occupational Diseases ◽  
Clinical Presentation ◽  
Challenge Test ◽  
Public Attention ◽  
Patch Tests ◽  
Left Hand ◽  
National Insurance ◽  
Flow Test ◽  
Typical Picture

IntroductionIn cosmetics, acrylic glues are used to apply nail and eyelash extensions. Acrylates are highly irritant materials and may cause local irritation (Contact Dermatitis – CD), respiratory irritation (Asthma) and systemic irritation (Urticaria). This case report describes these three occupational diseases.Clinical presentationA 48-year-old female, normally healthy, has been working in the nail beauty field for 11 years. Lately, following an increase of work, she started coughing every morning and feeling shortness of breath which was worsen at the start of work, and improved on vacations. In addition, the patient suffered from skin tenderness in her fingers. An examination of the hands showed a typical picture of CD in left hand fingers 4–5.Methods and resultsSpecific Patch Tests showed sensitivity to Hydroxyethyl Methacrylate and Hydroxypropyl Methacrylate. A methacholine challenge test showed a 22% decrease in FEV1 at 3.94μmol methacholine (i.e. positive test). The patient performed a Peak Expiratory Flow test (PEF). After a week in the nail salon her respiratory and dermatological status worsened greatly, including development of contact urticaria. She was instructed to stop immediately the exposure and start taking p/o steroids. Due to her 3 occupational diseases she was removed from work and latter was recognized as having 3 occupational disease by the Israeli National Insurance which supported her vocational rehabilitation.DiscussionAcrylic glues are hazardous agents which can cause several occupational diseases and require occupational environment monitoring yearly according to Israeli regulations. The TLV-TWA is 2ppm. Small private businesses like the patients‘ place don’t perform environmental monitoring or use personal or environmental protective equipment which endanger its workers (usually low social class women) who are not aware of the dangers in this industry. More public attention should be given to the risk in this industry.

scholarly journals Intraepithelial Macrophage Expressing CD163 Is a Histopathological Clue to Evaluate the Malignant Potency of Oral Lichenoid Condition: A Case Report and Immunohistochemical Investigation

Diagnostics ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. 624
Author(s):  
Manabu Shigeoka ◽  
Yu-ichiro Koma ◽  
Maki Kanzawa ◽  
Masaya Akashi ◽  
Hiroshi Yokozaki
Keyword(s):  
Case Report ◽  
Oral Cancer ◽  
Buccal Mucosa ◽  
Oral Lichen Planus ◽  
Resected Specimen ◽  
Histological Findings ◽  
Histological Features ◽  
Oral Lichenoid Lesions ◽  
Cancer Aggressiveness ◽  
Oral Lichen

Oral lichenoid conditions (OLC), including oral lichen planus (OLP), oral lichenoid lesions and oral lichenoid dysplasia, differ in pathogenesis and biological malignancy. However, distinguishing them based on clinical or histological features is difficult. It is well known that CD163+ macrophages are associated with oral cancer aggressiveness. We recently demonstrated that CD163+ macrophages of noncancerous lesions infiltrate the stroma, not the intraepithelial area. In this report, we describe a case of OLC that was not detected as malignant by the first local biopsy. Furthermore, we evaluated the malignant potency of OLC by retrospectively comparing the histological findings between local biopsy and resected specimens focusing on CD163+ macrophages. A 72-year-old man with a white lesion in the unilateral buccal mucosa was diagnosed with OLP through the biopsy although invasive cancer was detected two years later. Intraepithelial CD163+ macrophages were found not only on the resected specimen but also biopsy. This is the first report to demonstrate that intraepithelial CD163+ macrophages may be noteworthy indicators to identify the malignant potency of OLC.

scholarly journals Oral Lichenoid Lesion Manifesting as Desquamative Gingivitis: Unlikely Association? Case Report

2018 ◽  
Vol 12 (1) ◽  
pp. 679-686 ◽  
Author(s):  
Lívia Maria Lopes de Oliveira ◽  
Luiz Henrique Carvalho Batista ◽  
Alexandrino Pereira dos Santos Neto ◽  
Luciano Barreto Silva ◽  
Renata Cimões ◽  
...  
Keyword(s):  
Case Report ◽  
Organic Compound ◽  
Patch Test ◽  
Clinical Case ◽  
Direct Immunofluorescence ◽  
Continuous Observation ◽  
Oral Lichenoid Lesions ◽  
Available Information ◽  
Amalgam Restorations

Introduction: The aim of this report is to present a clinical case of oral lichenoid lesions associated with amalgam restorations with the presence of desquamative gingivitis for a nine months follow up period. Case Report: The histopathologic characteristics and direct immunofluorescence were compatible with Oral Lichenoid Lesion (LLO). Diagnosis was based on a synthesis of all available information, including medical history, clinical examination, histopathology and the results of specific tests, such as the patch test, which confirmed allergy to thimerosal, an organic compound of mercury. Discussion: The replacement of amalgam restorations has brought improvements to the instrument, as evidenced by the disappearance of desquamative gingivitis, aspect erythematosus and erosive lesions. The fading does not complete the same, however, indicates the need to continue has been under continuous observation, the patient, having in view the possibility of the existence of an underlying lichen planus.

Results of Patch Testing in Patients Diagnosed with Oral Lichen Planus

2009 ◽  
Vol 13 (2) ◽  
pp. 88-95 ◽  
Author(s):  
Mark A. Lomaga ◽  
Shely Polak ◽  
Miriam Grushka ◽  
Scott Walsh
Keyword(s):  
Patch Test ◽  
Lichen Planus ◽  
Oral Lichen Planus ◽  
Contact Allergy ◽  
Diallyl Disulfide ◽  
Patch Tests ◽  
Positive Patch Test ◽  
Oral Lichenoid Lesions ◽  
Underlying Causes ◽  
Oral Lichen

Background: Oral lichenoid lesions (OLLs) resemble oral lichen planus (OLP) but develop secondary to various underlying causes. The role of contact allergy in precipitating and/or perpetuating OLL is well documented but remains controversial. Objective: To help elucidate the association of contact allergy and OLL, we reviewed patch-test readings in patients diagnosed with OLP-like lesions. Methods: We retrospectively reviewed patients diagnosed with OLP-like lesions who had patch tests performed between January 1, 2006, and December 31, 2007. Results: Patch tests were performed on 24 patients with a histopathologic and/or clinical diagnosis of OLP. Of these, 16 (67%) had positive patch-test readings. At least eight (50%) of these patients had clinically relevant reactions. Ten of the 16 patients (63%) had reactions to metals. In most of these patients, troublesome areas tended to localize adjacent to metallic dental restorations. Of the nine patients (56%) who had reactions to fragrances, flavorings, gallates, and/or diallyl disulfide, the majority improved after avoiding these allergens. Conclusion: Our findings support the notion that contact allergy may underlie the pathogenesis of OLL and that allergen avoidance may result in amelioration of disease.

Oral Lichenoid Lesions Associated with Amalgam: a Case Report

2018 ◽  
Vol 126 (3) ◽  
pp. e133
Author(s):  
Danlyne Eduarda Ulisses De Queiroga ◽  
Aurea Valéria De Melo Franco ◽  
Vanessa De Carla Batista Dos Santos ◽  
Ivan José Correia Neto ◽  
Thayná Melo De Limaa Morais ◽  
...  
Keyword(s):  
Case Report ◽  
Oral Lichenoid Lesions

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

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