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Oral lichen planus in childhood
Ronald Laeijendecker1, Theodoor Van Joost, Bhupendra Tank
1Department of Dermatology, Albert Schweitzer Hospital, Albert, Schweitzerplaats, The Netherlands. r.laeijendecker@asz.nl
Pediatric Dermatology
|August 3, 2005
Summary
Oral lichen planus (OLP) is uncommon in children. This study found OLP in children resembles adult cases but often has a better prognosis, particularly in Asian populations.
Area of Science:
- Pediatric Dermatology
- Oral Medicine
- Immunodermatology
Background:
- Oral lichen planus (OLP) is a rare condition in childhood.
- Limited literature exists on pediatric OLP, necessitating further case reports and reviews.
Purpose of the Study:
- To report and characterize cases of pediatric oral lichen planus.
- To review existing literature on childhood OLP.
- To compare pediatric OLP with adult presentations and prognoses.
Main Methods:
- Case series including patients under 18 years old diagnosed with OLP.
- Documentation of clinical presentation, histopathology, patch tests, and blood work.
- Literature review of pediatric OLP cases.
Main Results:
- Three pediatric cases of OLP were identified over a decade.
- Clinical variants included asymptomatic hyperkeratotic and severe erosive OLP.
- Cases showed resemblance to adult OLP, with variations in race prevalence (preferential in Asian race).
- Prognosis appeared more favorable in children than adults.
Conclusions:
- Pediatric OLP is rare, with current data insufficient to establish definitive etiology or nature.
- Clinical features are similar to adult OLP, but childhood cases may have a better outlook.
- Further research is needed to understand the specific characteristics and triggers of OLP in children.