LICHEN PLANUS

AND NONEPITHELIAL LESIONS

Regezi and Sciubba

reticular lesions
atrophic lesions
erosive lesions
plaque-like lesions
bullous lesions
pigment lesions

describe lichen planus as having

the following clinical forms:

RETICULAR LICHEN PLANUS

ATROPHIC LICHEN PLANUS

RETICULAR LICHEN PLANUS

PLAQUE-LIKE LESIONS

EROSIVE LESIONS

Classification of oral candidiasis:

Acute candidiasis _ pseudo-membranous
_ atrophic
Chronic candidiasis_ atrophic
hypertrophic/hyperplasic
Mucous-skin forms _ localized (oral, face,
scalp, nails)
_ familial
_ associated syndromes

ACUTE PSEUDO-MEMBRANOUS
CANDIDIASIS

ACUTE ATROPHIC CANDIDIASIS

treatment _mouthwashes with sodium

bicarbonate 20%
solution of Nystatin suspension
100000u/ml 4 times a day, for a period of 10
days, or
Clotrimazole (10 mg tablets) 5 times a day
for a period of 14 days, administrated intraorally,or
Nizoral (100 mg tablets) 1 tablet per day for
2 weeks.

The chronic atrophic form includes:

- chronic atrophic candidiasis
- angular cheilitis
- median rhomboid glossitis

CHRONIC ATROPHIC CANDIDIASIS

TREATMENT

Nystatin solution 100000 u/ml 4 times a day

for at least 10 days
Amphotericin B suspension 100 mg/ml, 4
times/day for 10-15 days
Miconazole gel 2%: 4-6 applications a day,
both on the mucosa and the prostheses base;
treatment should continue 10 days after the
remission of clinical symptomatology.

ANGULAR CHEILITIS

GLOSSITIS RHOMBICA MEDIANA