MANAGEMENT OF EROSIVE ORAL LICHEN PLANUS ASSOCIATED WITH CHRONIC HEPATITIS C.

Taissir Medini, Amira Besbes, Wafa Nasri, Nouha Ben Abdeljelil, Jamil Medini
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Abstract

Hepatic disorders are generally silent, with slow progress, and are usually detected when the organ's function is severely affected. Several studies have shown that oral lichen planus (OLP) is one of the most Hepatitis C-associated diseases. The emergence of such an extrahepatic manifestation is frequent and can lead to an early diagnosis. Patients with chronic hepatitis C virus (HCV) infection exhibit extensive forms of OLP, with frequent periods of exacerbation of symptoms refractory to treatment, which is commensurate with the severity of the liver disease. When treating OLP in HCV patients, researchers have diverged results. This case report presents an extensive, erosive OLP in an HCV-positive female patient for whom clinical management was tremendous. Full remission was obtained after topical corticosteroid application and several sessions of oral cavity sanitation. This clinical case demonstrates that dentists play a major role in OLP diagnosing, managing, and malignant transformation preventing. They may also contribute to the screening of hepatitis C infection.

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慢性丙型肝炎合并糜烂性口腔扁平苔藓的治疗。
肝脏疾病通常是无声的,进展缓慢,通常在器官功能受到严重影响时才被发现。多项研究表明,口腔扁平苔藓(OLP)是最常见的丙型肝炎相关疾病之一。这种肝外表现的出现是频繁的,可以导致早期诊断。慢性丙型肝炎病毒(HCV)感染的患者表现出广泛形式的OLP,症状加重期频繁,难以治疗,这与肝脏疾病的严重程度相称。在治疗HCV患者的OLP时,研究人员得出了不同的结果。本病例报告提出了一个广泛的,糜烂性OLP在hcv阳性女性患者的临床管理是巨大的。局部皮质类固醇应用和几次口腔卫生后获得完全缓解。本临床病例表明,牙医在OLP的诊断、管理和恶性转化预防中发挥了重要作用。它们也可能有助于筛查丙型肝炎感染。
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