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Oraler Lichen planus

Eine interdisziplinäre Herausforderung

Oral lichen planus

An interdisciplinary challenge

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Der MKG-Chirurg Aims and scope

Zusammenfassung

Der orale Lichen planus ist eine nichtinfektiöse chronische Entzündungsform der Mundschleimhaut, die zusammen mit einer klassischen kutanen Manifestation oder an anderen Schleimhäuten wie der Konjunktiva oder im Genitalbereich auftreten kann. Die Ursache dieser Erkrankung ist nach wie vor ungeklärt, während die klinisch und histopathologisch sehr ähnliche orale lichenoide Reaktion durch dentale Werkstoffe oder Medikamente ausgelöst werden kann. Dieser Beitrag gibt eine Übersicht über die wichtigsten Erkenntnisse und therapeutischen Konzepte in Bezug auf diese beiden Erkrankungsformen und versucht somit dem klinisch aktiven Kollegen eine Hilfestellung in Diagnostik und Therapie zu geben.

Abstract

Oral lichen planus is a non-infectious chronic inflammatory condition. It can be associated with classical cutaneous lesions or involve other mucous membranes, such as the conjunctiva or mucous membranes of the genital organs. The etiology of oral lichen planus remains unknown; however, the clinically and histopathologically very similar oral lichenoid eruptions can be caused by dental restorative materials and drugs. This article focuses on current important knowledge and therapeutic concepts relating to these two conditions, with the aim of supporting clinical colleagues in the diagnostic and therapeutic management of affected patients.

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Authors and Affiliations

  1. Institut für Medizinische Genetik und Pathologie, Universitätspital Basel, Schönbeinstraße 40, 4031, Basel, Schweiz

    S. Höller

  2. Klinik für Zahnärztliche Chirurgie, Radiologie, Mund- und Kieferheilkunde, UZB – Universitätszahnkliniken Basel, Hebelstraße 3, 4056, Basel, Schweiz

    I. Hitz Lindenmüller

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Correspondence to S. Höller or I. Hitz Lindenmüller.

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Interessenkonflikt

S. Höller und I. Hitz Lindenmüller geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Redaktion

D. Baumhoer, Basel

U. D. A. Müller-Richter, Würzburg

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Höller, S., Hitz Lindenmüller, I. Oraler Lichen planus. MKG-Chirurg 11, 4–11 (2018). https://doi.org/10.1007/s12285-017-0132-3

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  • DOI: https://doi.org/10.1007/s12285-017-0132-3

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