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Reticular Oral Lichen Planus: A Clinical Experience of ENT Surgeons
Suhail Amin Patigaroo1, Ihsan Ali1, Tabish Maqbool1
1Department of ENT, Government Medical College, Srinagar, J&K India.
Summary
Reticular oral lichen planus (OLP) is a chronic autoimmune condition. This study details clinical features of 30 OLP patients, aiding ENT surgeons in accurate diagnosis of Wickham striae.
Area of Science:
- Oral Medicine
- Dermatology
- Autoimmune Diseases
Background:
- Reticular oral lichen planus (OLP) is a chronic autoimmune condition characterized by Wickham striae.
- Accurate diagnosis is crucial, especially for Ear, Nose, and Throat (ENT) surgeons who frequently encounter oral discomfort.
Purpose of the Study:
- To present the clinical characteristics of reticular OLP in 30 patients.
- To enhance diagnostic accuracy for ENT surgeons by outlining key clinical features.
Main Methods:
- Retrospective review of clinical records for 30 reticular OLP patients.
- Data collected included demographics, clinical presentation (site, symptoms, extraoral manifestations), and lifestyle factors (smoking, alcohol).
Main Results:
- The study included 30 patients (66.7% female, 33.3% male), with the 31-40 age group being most prevalent (50%).
- Buccal mucosa was the most commonly affected site (76.8%), and oral discomfort/burning sensation was the primary symptom (80%).
- Extraoral lesions were rare (6.6%), affecting nails and wrists in one patient each.
Conclusions:
- Reticular OLP predominantly affects middle-aged women, often presenting with buccal mucosal lesions and oral discomfort.
- Familiarity with these clinical characteristics is essential for ENT surgeons to avoid misdiagnosis.
