FCS (DCM) - Dissertações de Mestrado
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- Diagnosis and management of erosive oral lichen planus: report of a clinical casePublication . Corciulo, Matilde; Lopes, Otília; Begonha, Maria JoãoOral lichen planus is a common autoimmune disease, characterized by persistent inflammation of the oral mucosa caused by T-cell action. It predominantly affects women between the fourth and sixth decades of life. Its etiology is not completely understood, and its various clinical presentations make diagnosis difficult and pose a therapeutic challenge. This dissertation aims to report a clinical case of erosive oral lichen planus, contributing to the clarification of diagnosis, therapeutic approaches, post-treatment surveillance, and the continuous training of dentists in oral medicine. The case report describes a 68-year-old patient diagnosed with erosive oral lichen planus, whose clinical presentation and histopathological findings align with the commonly described characteristics in the literature. The patient was under continuous clinical follow-up from 2021 to 2024, during which she presented complications such as oral candidiasis and angular cheilitis. These complications highlight the importance of regular monitoring and a careful approach to disease progression and adverse effects of therapy. The therapeutic strategies in this case included topical corticosteroids and topical antifungals for candidiasis and angular cheilitis. The compilation of iconographic documentation and a detailed clinical history over three years underscores the importance of close monitoring of this disease.