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Diabetes and hepatitis frequency in 140 lichen planus cases in Cukurova region
Y Gül Denli1, Murat Durdu, Mehmet Karakas
1Cukurova University, Faculty of Medicine, Department of Dermatology, Adana, Turkey.
Abstract:
The aim of the present study was to determine the Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), and diabetes mellitus (DM) frequencies in lichen planus (LP) cases in our region. We performed a retrospective review of records from all cases that were diagnosed with LP at the our department between 1997 and 2002. The results were compared with the control group (any type of dermatosis other than LP). The 260 LP cases included 108 (41.5%) males and 152 (58.5%) females aged between 5 and 78 years. The clinical distribution of the lesions were 127 (48.8%) with skin lesions and 133 (51.2%) with oral mucosal lesions. The duration of disease ranged from 1 to 240 months. In 140 of 260 LP cases, hepatitis serology and pre-prandial blood glucose were examined. We found HBV positivity in 24 (17.1%) cases, Anti-HCV positivity in 7 (5%) cases, and DM in 22 (15.7%) cases. The control group included 116 (41.4%) males and 164 (58.6%) females. Their ages ranged between 10 and 82 years. In this group, we found HBV positivity in 20 (7.1%), Anti-HCV positivity in 4 (1.4%), and DM in 20 (7.1%) cases. We believe that the co-association of LP with HCV is significant and this co-association ratio indicates variance depending on clinical attributes of the lesions and racial characteristics of the patients. Although we found co-associations between HBV and LP or DM and LP, we believe that further studies are necessary to determine if they are significant.
Insights
Lichen planus (LP) cases showed higher frequencies of Hepatitis C Virus (HCV) compared to controls. Further studies are needed to confirm significant associations between Hepatitis B Virus (HBV), diabetes mellitus (DM), and LP.
Area of Science:
- Dermatology
- Hepatology
- Endocrinology
Background:
- Lichen planus (LP) is an inflammatory condition affecting skin and mucous membranes.
- Potential associations between LP and viral infections like Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV), as well as metabolic disorders like diabetes mellitus (DM), warrant investigation.
Purpose of the Study:
- To determine the frequencies of HBV, HCV, and DM in patients diagnosed with LP.
- To compare these frequencies with a control group to assess potential co-associations.
Main Methods:
- Retrospective review of 260 LP cases diagnosed between 1997 and 2002.
- Comparison of HBV, HCV, and DM prevalence with a control group of patients with other dermatoses.
- Hepatitis serology and blood glucose levels were examined in a subset of LP cases.
Main Results:
- HBV positivity was found in 17.1% of LP cases versus 7.1% in controls.
- Anti-HCV positivity was observed in 5% of LP cases versus 1.4% in controls.
- DM was present in 15.7% of LP cases versus 7.1% in controls.
Conclusions:
- A significant co-association between LP and HCV is suggested.
- While co-associations with HBV and DM were noted, further research is required to establish their statistical significance.
- Clinical and racial characteristics may influence the observed co-association ratios.
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