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Updated: Jun 16, 2025

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Elafin level in lichen planus.

Reham William Doss1, Esraa Hatem Ahmed Mohammed2, Eman Hamdy Mohamed3

  • 1Dermatology Department, Faculty of Medicine, Beni-Suef University, Mohammed Hassan Street, Beni Suef, Beni- Suef, 62511, Egypt. reham.doss@med.bsu.edu.eg.

Archives of Dermatological Research
|August 20, 2024
PubMed
Summary

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Elafin levels are significantly elevated in patients with lichen planus (LP), an autoimmune skin condition. This finding suggests elafin may play a role in the inflammatory processes involved in LP pathogenesis.

Area of Science:

  • Immunodermatology
  • Autoimmune diseases
  • Host defense proteins

Background:

  • Lichen planus (LP) is a chronic, inflammatory, autoimmune disorder affecting skin and mucous membranes.
  • Elafin, an epithelial host-defense protein, is upregulated in inflamed skin and other inflammatory skin conditions.
  • The specific role of elafin in lichen planus pathogenesis remains unclear.

Purpose of the Study:

  • To investigate the serum levels of elafin in patients with lichen planus.
  • To determine the association between elafin levels and lichen planus.
  • To explore the potential role of elafin in the pathogenesis of lichen planus.

Main Methods:

  • A case-control study was conducted with 30 lichen planus patients and 30 healthy controls.
Keywords:
Autoimmune diseasesLichen planusPathogenesis

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  • Serum elafin levels were quantified using the enzyme-linked immunosorbent assay (ELISA) technique.
  • Statistical analysis was performed to compare elafin levels between groups.
  • Main Results:

    • Serum elafin levels were significantly higher in lichen planus patients compared to healthy controls (mean values 32.56 vs. 5.60, p < 0.001).
    • The elevated elafin levels indicate a strong association between elafin and lichen planus.
    • A statistically significant difference was observed, highlighting elafin's potential involvement.

    Conclusions:

    • Elafin is significantly overexpressed in the serum of lichen planus patients.
    • Elafin may be implicated as a component of the inflammatory and autoimmune processes in lichen planus.
    • Further research is warranted to elucidate the precise mechanisms of elafin in LP.