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Linear oro-facial lichen sclerosus.

S Kaur1, G P Thami, A J Kanwar

  • 1Departments of Dermatology and Venereology and Pathology, Government Medical College and Hospital, Chandigarh, India.

Clinical and Experimental Dermatology
|October 10, 2002
PubMed
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Lichen sclerosus, a rare depigmenting disorder, can affect the face and oral mucosa. This case highlights a linear nasal lesion with oral extension, partially resolved with corticosteroids.

Area of Science:

  • Dermatology
  • Oral Medicine
  • Mucocutaneous Disorders

Background:

  • Lichen sclerosus is a chronic inflammatory condition primarily affecting the anogenital area.
  • Oral involvement of lichen sclerosus is exceptionally rare, often presenting asymptomatically.
  • Depigmenting disorders can significantly impact quality of life due to cosmetic concerns.

Observation:

  • A rare case of lichen sclerosus presenting with a linear depigmented lesion on the nose, philtrum, and upper lip is described.
  • The lesion extended intraorally to the gingiva, posing a unique clinical challenge.
  • The patient's oral lesions were asymptomatic but cosmetically concerning.

Findings:

  • The patient received a short course of oral and intralesional corticosteroids.

Related Experiment Videos

  • Partial resolution of the nasal and oral lichen sclerosus lesions was observed following treatment.
  • This case underscores the potential for extragenital and oral mucosal presentation of lichen sclerosus.

    • Implications:

    • This case expands the known clinical spectrum of lichen sclerosus.
    • It highlights the importance of considering lichen sclerosus in the differential diagnosis of facial and oral depigmenting lesions.
    • Further research into optimal management strategies for oral and facial lichen sclerosus is warranted.