Lichen planus
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Široke lezije na obje potkoljenice su atipične. U tom slučaju obično se više sumnja na druge kronične alergijske bolesti (lichen simplex chronicus).
Atrophic lichen planus
References
Lichen planus (LP) je dugotrajno upalno stanje koje uglavnom pogađa odrasle osobe u srednjim godinama. Može se pojaviti na koži ili sluznicama kao što su usta, vagina, jednjak, glasnica i sluznica očiju. LP dolazi u različitim oblicima ovisno o tome kako osip izgleda i gdje se pojavljuje. Studije sugeriraju da određene vrste LP, poput onih koje zahvaćaju jednjak ili oči, možda neće biti dovoljno dijagnosticirane. Neki oblici LP, poput hipertrofičnih i erozivnih tipova u ustima, mogu biti posebno opterećujući i trajati dugo. Drugi čimbenici poput lijekova ili kontakta s određenim tvarima mogu izazvati osipe sličnog izgleda.
Lichen planus (LP) is a chronic inflammatory disorder that most often affects middle-aged adults. LP can involve the skin or mucous membranes including the oral, vulvovaginal, esophageal, laryngeal, and conjunctival mucosa. It has different variants based on the morphology of the lesions and the site of involvement. The literature suggests that certain presentations of the disease such as esophageal or ophthalmological involvement are underdiagnosed. The burden of the disease is higher in some variants including hypertrophic LP and erosive oral LP, which may have a more chronic pattern. LP can significantly affect the quality of life of patients as well. Drugs or contact allergens can cause lichenoid reactions as the main differential diagnosis of LP.
Lichen planus (LP) is a chronic inflammatory disorder that most often affects middle-aged adults. LP can involve the skin or mucous membranes including the oral, vulvovaginal, esophageal, laryngeal, and conjunctival mucosa. It has different variants based on the morphology of the lesions and the site of involvement. The literature suggests that certain presentations of the disease such as esophageal or ophthalmological involvement are underdiagnosed. The burden of the disease is higher in some variants including hypertrophic LP and erosive oral LP, which may have a more chronic pattern. LP can significantly affect the quality of life of patients as well. Drugs or contact allergens can cause lichenoid reactions as the main differential diagnosis of LP.
Lichen planus je stanje kože obilježeno ljubičastim izbočinama i mrljama s ravnim vrhom koje mogu uzrokovati intenzivan svrbež. Ove kožne lezije mogu biti uznemirujuće, osobito kada ozbiljno zahvate usta ili genitalije. U teškim slučajevima oral lichen planus može čak povećati rizik od razvoja neke vrste raka kože. Također može utjecati na vlasište i nokte. Dok je uzrok većine slučajeva nepoznat, neki mogu biti potaknuti određenim lijekovima ili infekcijom hepatitisom C. Liječenje obično uključuje jake kreme za lokalizirane slučajeve i oralne steroide za one raširenije.
Lichen planus is a skin condition marked by purplish, flat-topped bumps and patches that can cause intense itching. These skin lesions can be distressing, especially when they affect the mouth or genitals severely. In severe cases, oral lichen planus may even increase the risk of developing a type of skin cancer. It can also affect the scalp and nails. While the cause of most cases is unknown, some may be triggered by certain medications or hepatitis C infection. Treatment typically involves strong creams for localized cases and oral steroids for more widespread ones.
Lichen planus is a skin condition marked by purplish, flat-topped bumps and patches that can cause intense itching. These skin lesions can be distressing, especially when they affect the mouth or genitals severely. In severe cases, oral lichen planus may even increase the risk of developing a type of skin cancer. It can also affect the scalp and nails. While the cause of most cases is unknown, some may be triggered by certain medications or hepatitis C infection. Treatment typically involves strong creams for localized cases and oral steroids for more widespread ones.
Lichen planus je stanje u kojem imunološki sustav uzrokuje upalu, što rezultira karakterističnim tragovima na koži i sluznicama. Pogađa oko 5% odraslih osoba, češće žena, a obično počinje oko srednje dobi. Oralno zahvaćanje se vidi u do 77% slučajeva, uglavnom zahvaćajući unutarnju stranu obraza. Dok neki ljudi možda ne osjećaju nikakve simptome, drugi mogu osjetiti bol i imati problema s određenom hranom (npr. Kiselom, začinjenom) ili pastom za zube.
Lichen planus is an immune-mediated inflammatory condition leading to characteristic lesions on skin and mucous membranes. It presents in up to 5% of the general adult population with a female predilection (2:1); the onset is most commonly in middle age. Up to 77% of patients with lichen planus have oral disease, with buccal mucosa the most common subsite. The oral lesions may be asymptomatic, although a subset of patients have pain and difficulty tolerating certain foods (e.g., acidic, spicy) and toothpaste.
Lichen planus is an immune-mediated inflammatory condition leading to characteristic lesions on skin and mucous membranes. It presents in up to 5% of the general adult population with a female predilection (2:1); the onset is most commonly in middle age. Up to 77% of patients with lichen planus have oral disease, with buccal mucosa the most common subsite. The oral lesions may be asymptomatic, although a subset of patients have pain and difficulty tolerating certain foods (e.g., acidic, spicy) and toothpaste.
Za potvrdu dijagnoze kožnog lichen planusa može se učiniti biopsija kože. Izravna imunofluorescencija (DIF) može biti korisna u bolesnika s buloznim lezijama za razlikovanje stanja od autoimune vezikulobulozne bolesti.