Inmunopatologa de la Mucosa Oral

Reaccin Liquenoide vs LPO

Fernando Rodrguez Castro

Medicina Oral

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LPO/RL

The term OLR was proposed by Finne in 1982 to designate clinically indistinguishable lesions of OLP in which a specic etiological factor (mercury in Finnes original description) can be inferred and/or demonstrated - and to differentiate this from the generically idiopathic OLP.

The term oral lichenoid lesion (OLL) is used to describe eruptions of the oral cavity having an identiable etiology, which are clinically and histologically similar to oral lichen planus (OLP)

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1. Reaccin Liquenoide de Contacto

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RL asociada a Amalgama RL asociada a Materiales Dentales RL de Contacto

Boca Urente / Glosodinia Gingivitis Inespcica (Periodontitis?) (Gingivitis Descamativa) Ulceracin Inespecca Queilitis Reaccin Granulomatosa Oral

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2. Reaccin Liquenoide asociada a drogas

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Consideraciones
El retiro del estmulo causal da paso en gran parte de los casos

(no todos) a la involucin de la lesin en perodos de hasta dos meses

Evaluar el verdadero benecio de la suspensin de un frmaco Evaluar el verdadero benecio de establecer un tratamiento
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3. Enfermedad Injerto contra Huesped

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The acute or fulminant form of the disease (aGVHD) is normally observed within the rst 100 days post-transplant, and is a major challenge to transplants owing to associated morbidity and mortality. The chronic form of graft-versus-host-disease (cGVHD) normally occurs after 100 days. The appearance of moderate to severe cases of cGVHD adversely inuences long-term survival.

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Casos Clnicos

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42 yo F

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41 yo F

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57 yo F

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21 yo F

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23 yo M

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There are several oral lesions that resemble lichen planus or that even are indistinguishable from lichen planus clinically and histopathologically, but having a distinct etiology. Occasionally, it is difcult, if not impossible, to arrive at an accurate diagnosis. Since the presently available histopathological criteria of oral lichen planus are not truly reproducible, a nal diagnosis of oral lichen planus can not be made on histopathological grounds alone. In the absence of known etiological factors, the taking of a biopsy should be considered, particularly in case of a non-reticular lesion, in order to exclude the possibility of epithelial dysplasia or even carcinoma in situ or invasive squamous cell carcinoma. The term lichenoid dysplasia is confusing and, therefore, should be avoided.

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