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Wang Y, Han X, Zhu L, Shen Z, Liu W. Possible interplay of diabetes mellitus and thyroid diseases in oral lichen planus: A pooled prevalence analysis. J Dent Sci 2024; 19:626-630. [PMID: 38303799 PMCID: PMC10829740 DOI: 10.1016/j.jds.2023.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2023] [Revised: 11/10/2023] [Indexed: 02/03/2024] Open
Abstract
The existence of a comorbidity between diabetes mellitus (DM) as well as between thyroid diseases (TD) and oral lichen planus (OLP), respectively, was substantially demonstrated. However, there is not enough attention to the concurrent status of both TD and DM in OLP patients. Herein, this short communication aimed to compare 1) the prevalence of DM when TD was concurrently investigated and that of DM when TD status was ignored; 2) the prevalence of TD when DM was concurrently investigated and that of TD when DM status was ignored in the studies. The pooled prevalence (9.86 %; 95 % confidence intervals [CI], 9.22-10.53 %) of DM when TD was concurrently investigated was significantly higher than that (8.13 %; 95%CI, 8.03-9.12 %) when TD status was not investigated in OLP patients. The pooled prevalence (12.48 %; 95%CI, 11.77-13.22 %) of TD when DM was concurrently investigated was significantly higher than that (10.45 %; 95%CI, 9.52-11.46 %) when DM status was not investigated in OLP patients. Thus, it is logical to presume for the first time that there is possible interplay of DM and TD in OLP occurrence. TD and DM should serve as important confounding factors each other in clinical investigation on OLP and associated comorbidities.
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Affiliation(s)
- Yun Wang
- Department of Dermatology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xinyi Han
- College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, China
- Department of Oral Mucosal Diseases, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Laikuan Zhu
- College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, China
- Department of Stomatology, Hainan Western Central Hospital, Shanghai Ninth People’s Hospital, Danzhou, Hainan, China
| | - Zhengyu Shen
- Department of Dermatology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Wei Liu
- College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, China
- Department of Oral and Maxillofacial-Head and Neck Oncology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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Pawlowski J, Beczinski J, Stege H, Mann C, Butsch F, Al-Nawas B, Kaya S, Wittmann M. Bridging the gaps: management of lichen planus subtypes in a joint dermatology-oral surgery clinic. Clin Exp Dermatol 2023; 49:18-25. [PMID: 37768125 DOI: 10.1093/ced/llad335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Revised: 09/11/2023] [Accepted: 09/12/2023] [Indexed: 09/29/2023]
Abstract
Lichen planus (LP) presents with a range of clinical subtypes. It can affect the outer skin, involve the nails and present with alopecia and mucosal symptoms to varying degrees. LP of the outer skin mostly shows a self-limiting course; however, this is not the case for lichen planopilaris and the mucosa-affecting subtypes. The pathogenesis of LP is still incompletely understood. As a result, an effective, targeted therapy is currently lacking and different immunomodulatory approaches are being used in clinical practice. The management of patients with severe oral LP mucosae can be particularly challenging. Although the true risk remains controversial, oral LP is considered a risk factor for the development of squamous cell carcinoma and there is a need for regular screening. The quality of life in patients with LP is significantly impaired because of frequent clinical visits, pain, soreness, inability to eat certain foods, side effects to medication, frustrating therapy attempts and worry regarding cancer risk. We highlight here the advantages of an interdisciplinary dermatology and oral surgery clinic, which can address the domains of tooth status, nutrition, pain and malignant transformation and optimized patient management.
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Affiliation(s)
| | | | | | | | | | - Bilal Al-Nawas
- Oral and Maxillofacial Surgery, Plastic Surgery, University Medical Center of the Johannes Gutenberg-University of Mainz, Mainz, Germany
| | - Sebahat Kaya
- Oral and Maxillofacial Surgery, Plastic Surgery, University Medical Center of the Johannes Gutenberg-University of Mainz, Mainz, Germany
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Tenore G, Mohsen A, Rocchetti F, Rossi G, Cassoni A, Battisti A, Della Monaca M, Di Gioia CRT, De Felice F, Botticelli A, Valentini V, Della Rocca C, De Vincentiis M, Polimeni A, Romeo U. Risk of Oral Squamous Cell Carcinoma in One Hundred Patients with Oral Lichen Planus: A Follow-Up Study of Umberto I University Hospital of Rome. Cancers (Basel) 2023; 15:cancers15113004. [PMID: 37296965 DOI: 10.3390/cancers15113004] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Revised: 05/24/2023] [Accepted: 05/29/2023] [Indexed: 06/12/2023] Open
Abstract
This study aims to retrospectively assess the potential risk of malignant transformation in patients with diagnosed oral lichen planus (OLP) between 2015 and 2022, and to evaluate the influence of different risk factors. The department's database and medical records from 2015 to 2022 were searched for patients with a confirmed diagnosis of OLP based on both clinical and histological parameters. A total of 100 patients (59 females and 41 males) were found with a mean age of 64.03 years. In the considered period, the percentage of diagnosed OLP patients was 1.6%, while the percentage of diagnosed OLP patients with transformation to oral squamous cell carcinoma (OSCC) was 0.18%. A statistically significant difference was found with age (p = 0.038), tobacco status (p = 0.022), and radiotherapy (p = 0.041). The analysis revealed the presence of significant risk in ex-smokers (>20 pack-years), with an odds ratio (OR) of 10.0000 (95% confidence interval (95% CI) 1.5793-63.3186); in alcohol-drinker patients, with an OR of 4.0519 (95% CI 1.0182-16.1253); in ex-smoker and alcohol-drinker patients, with OR of 17.6250 (95% CI 2.2464-138.2808); and in patients who had undergone radiotherapy, with OR of 6.3000 (95% CI 1.2661-31.3484). The malignant transformation of oral lichen planus was slightly higher than thought, and the results revealed a possible association with age, tobacco and alcohol status, and history of radiotherapy. An elevated risk of malignant transformation was observed in heavy ex-smoker patients, alcohol-drinker patients, and alcohol-drinker patients with a history of smoking (ex-smokers). Persuading the patient to quit tobacco and alcohol consumption and periodic follow-ups are recommended in general, but particularly in the presence of these risk factors.
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Affiliation(s)
- Gianluca Tenore
- Head and Neck Tumor Board, Umberto I University Hospital, Sapienza University of Rome, 00161 Rome, Italy
- Department of Oral Sciences and Maxillofacial Surgery, Sapienza University of Rome, 00161 Rome, Italy
| | - Ahmed Mohsen
- Head and Neck Tumor Board, Umberto I University Hospital, Sapienza University of Rome, 00161 Rome, Italy
- Department of Oral Sciences and Maxillofacial Surgery, Sapienza University of Rome, 00161 Rome, Italy
| | - Federica Rocchetti
- Head and Neck Tumor Board, Umberto I University Hospital, Sapienza University of Rome, 00161 Rome, Italy
- Department of Oral Sciences and Maxillofacial Surgery, Sapienza University of Rome, 00161 Rome, Italy
| | - Giulia Rossi
- Head and Neck Tumor Board, Umberto I University Hospital, Sapienza University of Rome, 00161 Rome, Italy
- Department of Oral Sciences and Maxillofacial Surgery, Sapienza University of Rome, 00161 Rome, Italy
| | - Andrea Cassoni
- Head and Neck Tumor Board, Umberto I University Hospital, Sapienza University of Rome, 00161 Rome, Italy
- Department of Oral Sciences and Maxillofacial Surgery, Sapienza University of Rome, 00161 Rome, Italy
| | - Andrea Battisti
- Head and Neck Tumor Board, Umberto I University Hospital, Sapienza University of Rome, 00161 Rome, Italy
- Department of Oral Sciences and Maxillofacial Surgery, Sapienza University of Rome, 00161 Rome, Italy
| | - Marco Della Monaca
- Head and Neck Tumor Board, Umberto I University Hospital, Sapienza University of Rome, 00161 Rome, Italy
- Department of Oral Sciences and Maxillofacial Surgery, Sapienza University of Rome, 00161 Rome, Italy
| | - Cira Rosaria Tiziana Di Gioia
- Head and Neck Tumor Board, Umberto I University Hospital, Sapienza University of Rome, 00161 Rome, Italy
- Department of Radiological Sciences, Oncology and Anatomical Pathology, Sapienza University of Rome, 00161 Rome, Italy
| | - Francesca De Felice
- Head and Neck Tumor Board, Umberto I University Hospital, Sapienza University of Rome, 00161 Rome, Italy
- Department of Radiological Sciences, Oncology and Anatomical Pathology, Sapienza University of Rome, 00161 Rome, Italy
| | - Andrea Botticelli
- Head and Neck Tumor Board, Umberto I University Hospital, Sapienza University of Rome, 00161 Rome, Italy
- Department of Radiological Sciences, Oncology and Anatomical Pathology, Sapienza University of Rome, 00161 Rome, Italy
| | - Valentino Valentini
- Head and Neck Tumor Board, Umberto I University Hospital, Sapienza University of Rome, 00161 Rome, Italy
- Department of Oral Sciences and Maxillofacial Surgery, Sapienza University of Rome, 00161 Rome, Italy
| | - Carlo Della Rocca
- Head and Neck Tumor Board, Umberto I University Hospital, Sapienza University of Rome, 00161 Rome, Italy
- Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04100 Latina, Italy
| | - Marco De Vincentiis
- Head and Neck Tumor Board, Umberto I University Hospital, Sapienza University of Rome, 00161 Rome, Italy
- Department of Sense Organs, Sapienza University of Rome, 00161 Rome, Italy
| | - Antonella Polimeni
- Head and Neck Tumor Board, Umberto I University Hospital, Sapienza University of Rome, 00161 Rome, Italy
- Department of Oral Sciences and Maxillofacial Surgery, Sapienza University of Rome, 00161 Rome, Italy
| | - Umberto Romeo
- Head and Neck Tumor Board, Umberto I University Hospital, Sapienza University of Rome, 00161 Rome, Italy
- Department of Oral Sciences and Maxillofacial Surgery, Sapienza University of Rome, 00161 Rome, Italy
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Changes in Lipoprotein Particles in the Blood Serum of Patients with Lichen Planus. Metabolites 2023; 13:metabo13010091. [PMID: 36677016 PMCID: PMC9866152 DOI: 10.3390/metabo13010091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 12/27/2022] [Accepted: 01/04/2023] [Indexed: 01/07/2023] Open
Abstract
Lichen planus is a chronic inflammatory mucocutaneous disease that belongs to the group of papulosquamous skin diseases among diseases like psoriasis, a widely studied disease in dermatology. The aim of the study was to identify the changes between the blood sera of lichen planus patients and healthy controls to widen the knowledge about the metabolomic aspect of lichen planus and gain a better understanding about the pathophysiology of the disease. We used high-throughput nuclear magnetic resonance (NMR) spectroscopy to measure the levels of blood serum metabolites, lipoproteins and lipoprotein particles. Dyslipidemia has relatively recently been shown to be one of the comorbidities of lichen planus, but the changes in the components of lipoproteins have not been described yet. We found statistically significant changes in the concentrations of 16 markers regarding lipoproteins, which included the components of intermediate-density lipoproteins, low-density lipoproteins and large low-density lipoproteins. We propose that the detected changes may increase the risk for specific comorbidities (e.g., dyslipidemia) and resulting cardiovascular diseases, as the turnover and hepatic uptake of the altered/modified lipoprotein particles are disturbed.
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