EBV-positive mucocutaneous ulceration

Author(s):  
A Jivraj ◽  
K Evans ◽  
M Reza ◽  
A Qureshi ◽  
D Srinivasan

Ulceration of the oral cavity is common and a frequent reason for referral to secondary and tertiary centres. Epstein–Barr virus (EBV)-related mucocutaneous ulceration, however, is a rare cause of oral ulceration that has been described only recently. Histologically these lesions resemble lymphomas; however, their management and prognosis differ significantly. We present a case of EBV-induced oral ulceration and discuss the diagnosis and management of and available literature for the condition, which was treated successfully through conservative measures alone.

2019 ◽  
Vol 30 (3) ◽  
pp. e259-e262 ◽  
Author(s):  
Sara Ferreira dos Santos Costa ◽  
André Myller Barbosa Silva ◽  
Gleyson Kleber Amaral-Silva ◽  
Hélder Antônio Rebelo Pontes ◽  
Flávia Sirotheau Corrêa Pontes ◽  
...  

2020 ◽  
Vol 16 (1) ◽  
pp. 35-41
Author(s):  
Anastasiya Serazetdinova ◽  
Dmitriy Trunin ◽  
Valentina Kirillova ◽  
Natal'ya Sultanova ◽  
Mihail Postnikov

Subject. Lichen planus is a chronic inflammatory disease of the skin and mucous membranes, less commonly affecting nails and hair, the typical elements of which are papules. In the structure of diseases localized on the oral mucosa, chronic lichen planus is up to 35―40 %. A number of authors indicate the nature of the development of lichen planus in the oral cavity caused by herpes, in particular type 4 herpes virus (Epstein―Barr). The goal is to increase the efficiency of diagnosis and treatment of patients with lichen planus associated with the Epstein―Barr virus. Methodology. This article illustrates the experience of managing a patient with exudative-hyperemic form of lichen planus associated with Epstein―Barr virus and the inclusion of antiviral drugs in the treatment regimen. The paper used clinical and laboratory methods for diagnosing the conditions under study. Results. In the course of the observation, a positive clinical and laboratory dynamics of the conditions under study was revealed when applying the modernized treatment plan for lichen planus. The appointment of systemic and local antiviral therapy can reduce the treatment time for lichen planus on the mucous membrane of the oral cavity and not resort to the appointment of local hormone therapy. Conclusions. In order to increase the effectiveness of the therapy for lichen planus, it is necessary to conduct a study to identify specific DNA not only for Epstein―Barr virus, but also for all herpes viruses due to immunotropy and persistence mainly in the cells of the oral mucosa. The use of a systemic antiviral component reduces the treatment time for dental manifestations of lichen planus and eliminates the need for corticosteroid therapy, which improves the quality of life of patients.


Author(s):  
CB Ryan ◽  
M Keaney ◽  
RJ Flavin ◽  
C Healy ◽  
E O'Regan ◽  
...  

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