6533b820fe1ef96bd127aae3

RESEARCH PRODUCT

Topic tacrolimus, alternative treatment for oral erosive lichen planus resistant to steroids : a case report

Ana Riaño ArgüellesRaúl Martino GorbeaMaría Eugenia Iglesias ZamoraJoaquín Garatea Crelgo

subject

stomatognathic diseasesOral erosive lichen planusintegumentary systemstomatognathic systemUNESCO::CIENCIAS MÉDICASskin and connective tissue diseases:CIENCIAS MÉDICAS [UNESCO]oral topic tacrolimus

description

The lichen planus is a mucocutaneous disease with unknown etiology and auto-immune pathogenia. There have been three variants of lichen planus: the reticular, the plaque-like and the atrophic-erosive lesions. It?s a chronic disease with acute relapses that generally affects more frecuently to women from the fourties. The diagnostic is based on the clinic identification of the lesions joined with the histopathologic study (basal cells hidropic degeneration, linfoplasmocitic infiltration and absence of displasy signs). The great number of therapeutic options are explained for its high prevalency (0.5-2%), its recurrence and its risk for malignant transformation. We present a case of oral erosive lichen planus, refractory to numerous treatments, mainly corticosteroids. During 15 days the lesion responded to the administration of a 0.1% tacrolimus in topic application. This article tries to show the new indication of tacrolimus, a calcineurin inhibitor immunosuppressor, that it is effective in the erosive lesions treatment.

http://hdl.handle.net/10550/63306