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Sun Y, Chen D, Deng X, Xu Y, Wang Y, Qiu X, Yuan P, Zhang Z, Xu H, Jiang L. Prevalence of oral lichen planus in patients with diabetes mellitus: A cross-sectional study. Oral Dis 2024; 30:528-536. [PMID: 35972187 DOI: 10.1111/odi.14323] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2022] [Revised: 07/16/2022] [Accepted: 07/20/2022] [Indexed: 02/05/2023]
Abstract
OBJECTIVES Oral lichen planus, a chronic inflammatory immune disease, occurs in the oral mucosa. We aimed to assess the prevalence and possible influencing factors of oral lichen planus in patients with diabetes mellitus. SUBJECTS AND METHODS This cross-sectional study involved 525 patients with diabetes mellitus and 525 controls. We collected information on blood glucose level, duration of diabetes, diabetic complications, treatment methods, other systemic diseases and medication history. RESULTS Oral lichen planus was significantly more prevalent in the diabetes mellitus/type 2 diabetes mellitus group than in the controls (2.3%/2.2% vs. 0.6%, p = 0.019/0.022). There was no significant association between patients with diabetes mellitus with and those without oral lichen planus in age (p = 0.195), sex (p = 0.390), blood glucose level (p = 1), duration of diabetes (p = 0.638), diabetic complications (p = 1), treatment methods (p = 0.962), other systemic diseases (p = 0.891) and medication history (p = 0.848). CONCLUSIONS Diabetes mellitus was associated with oral lichen planus; there was a higher prevalence of oral lichen planus in patients with diabetes mellitus/type 2 diabetes mellitus than in those without diabetes. Oral lichen planus development in patients with diabetes mellitus was not significantly associated with age, sex, blood glucose level, duration of diabetes, diabetic complications, treatment methods, other systemic diseases and medication history.
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Affiliation(s)
- Yutong Sun
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Oral Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Dawei Chen
- Diabetic Foot Care Center, Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, China
| | - Xiaoting Deng
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Oral Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Yiming Xu
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Oral Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Ying Wang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Oral Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Xuemei Qiu
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Oral Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Peiyang Yuan
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Oral Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Zhenyu Zhang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Oral Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Hao Xu
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Oral Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Lu Jiang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Oral Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu, China
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Rosen J, Darwin E, Tuchayi SM, Garibyan L, Yosipovitch G. Skin changes and manifestations associated with the treatment of obesity. J Am Acad Dermatol 2019; 81:1059-1069. [DOI: 10.1016/j.jaad.2018.10.081] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2018] [Revised: 10/16/2018] [Accepted: 10/17/2018] [Indexed: 11/28/2022]
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Abstract
Metformin though primarily an antidiabetic drug, has found to play an important role in a number of cutaneous disorders. Because of its role in improving hyperinsulinemia, it has proven beneficial in hormonal acne, hidradenitis suppurativa (HS) and acanthosis nigricans. Its antiandrogenic properties further serve as an add-on to the conventional management of hirsutism associated with polycystic ovarian syndrome. Very recently, systemic usage of metformin for psoriasis and cutaneous malignancies has shown promising results. Interestingly, metformin has also been topically used in hyperpigmentary disorders with pertinent levels of improvement and happens to be the most recent addition to the list of dermatologic indications. Though an oral hypoglycemic agent to begin with, metformin today has proven to be a boon for dermatologists.
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Affiliation(s)
- Aditya Kumar Bubna
- Assistant Professor, Department of Dermatology, Sri Ramachandra University, Porur, Chennai, Tamil Nadu, India
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Schmouchkovitch A, Herry H, Thuillier P, Kerlan V, Fleuret C, Le Toux G, Boisramé S. Oral and vulvo-vaginal lichenoid reactions due to mitotane (Lysodren): A case report. Medicine (Baltimore) 2017; 96:e5075. [PMID: 28079787 PMCID: PMC5266149 DOI: 10.1097/md.0000000000005075] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
BACKGROUND The purpose of pharmacovigilance (drug safety) is collection, detection, assessment, monitoring, and prevention of adverse effects with pharmaceutical products. It is meant to identify, characterize, prevent, or minimize actual or potential risks relating to medicinal products. To prevent these adverse effects and improve our practice, health professionals have a duty to report side effects to assess this risk and evaluate the benefit/risk requirements. Mitotane (Lysodren) is used for treating adrenocortical carcinoma. Currently, no side effects concerning oral and genital mucosa have been reported. CASE SUMMARY This case report is about a 50 years old woman. Six months after the initiation on mitotane treatment, she developed erosive lesions located on the oral and vaginal mucosa. These drug reactions were diagnosed as erosive lichen planus by the biopsy. This lichenoid lesions were resistant to the usual treatments, mitotane being at the time not replaceable. CONCLUSION This case describes an unreported adverse effect of mitotane, it is - to our knowledge - the 1st description of erosive lichenoid drug reaction due to Mitotane.
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Affiliation(s)
| | | | | | | | | | - Guy Le Toux
- Department of Oral Surgery, Brest University Hospital, Brest, France
| | - Sylvie Boisramé
- Department of Oral Surgery, Brest University Hospital, Brest, France
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Steber CJ, Perkins SL, Harris KB. Metformin-Induced Fixed-Drug Eruption Confirmed by Multiple Exposures. AMERICAN JOURNAL OF CASE REPORTS 2016; 17:231-4. [PMID: 27056044 PMCID: PMC4827516 DOI: 10.12659/ajcr.896424] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Patient: Female, 56 Final Diagnosis: Fixed-drug eruption Symptoms: — Medication: Metformin Clinical Procedure: Discontinued metformin Specialty: Family Medicine
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Affiliation(s)
- Carolyn J Steber
- Levine College of Health Sciences, Wingate University, Wingate, NC, USA
| | - Scott L Perkins
- College of Pharmacy and Health Sciences, Campbell University, Buies Creek, NC, USA
| | - Kira B Harris
- Levine College of Health Sciences, Wingate University, Wingate, NC, USA
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Chakraborti G, Biswas R, Chakraborti S, Sen PK. Altered serum uric Acid level in lichen planus patients. Indian J Dermatol 2014; 59:558-61. [PMID: 25484383 PMCID: PMC4248490 DOI: 10.4103/0019-5154.143510] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Lichen planus (LP) is a common disorder whose etiopathogenesis is not clear. Recently, it has been suggested that increased reactive oxygen species (ROS) play important roles in the underlying mechanism of LP. OBJECTIVES The principal aim of this study was to evaluate serum uric acid (UA) levels as a measure of the antioxidant defense status in LP patients. METHODS Serum UA levels were determined in 58 LP patients and 61 controls. RESULTS Serum UA levels were significantly decreased in patients with respect to controls. Moreover, serum UA level was decreased according to increasing duration of disease. CONCLUSIONS The results of our study suggest that LP is associated with decrease of UA levels in serum. UA may be a potential, useful biomarker of antioxidant status in LP for elaboration of treatment strategy and monitoring.
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Affiliation(s)
- Goutam Chakraborti
- Department of Biochemistry, Murshidabad Medical College and Hospital, Berhampore, West Bengal, India
| | - Rabindranath Biswas
- Department of Dermatology, Murshidabad Medical College and Hospital, Berhampore, West Bengal, India
| | - Sandip Chakraborti
- Department of Biochemistry, Murshidabad Medical College and Hospital, Berhampore, West Bengal, India
| | - Pradyot Kumar Sen
- Department of Biochemistry, Murshidabad Medical College and Hospital, Berhampore, West Bengal, India
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Zaïem A, Sahnoun R, Badri T, Lakhoua G, Koubaa W, Kastalli S, Daghfous R, Lakhal M, El Aidli S. Lichen associated with metformin. Therapie 2014; 69:253-4. [PMID: 24927507 DOI: 10.2515/therapie/2014025] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2013] [Accepted: 01/20/2014] [Indexed: 11/20/2022]
Abstract
We report an exceptional case of bullous lichen induced by metformin in a patient with diabetes mellitus.
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Affiliation(s)
- Ahmed Zaïem
- National Center of Pharmacovigilance, Tunis, Tunisia - Tunis El Manar University, Medicine Faculty, Tunis, Tunisia
| | - Rym Sahnoun
- National Center of Pharmacovigilance, Tunis, Tunisia - Tunis El Manar University, Medicine Faculty, Tunis, Tunisia
| | - Talel Badri
- Tunis El Manar University, Medicine Faculty, Tunis, Tunisia - Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia
| | - Ghozlane Lakhoua
- National Center of Pharmacovigilance, Tunis, Tunisia - Tunis El Manar University, Medicine Faculty, Tunis, Tunisia
| | - Wafa Koubaa
- Pathological Anatomy Laboratory, Habib Thameur Hospital, Tunis, Tunisia
| | - Sarrah Kastalli
- National Center of Pharmacovigilance, Tunis, Tunisia - Tunis El Manar University, Medicine Faculty, Tunis, Tunisia
| | - Riadh Daghfous
- National Center of Pharmacovigilance, Tunis, Tunisia - Tunis El Manar University, Medicine Faculty, Tunis, Tunisia
| | - Mohamed Lakhal
- National Center of Pharmacovigilance, Tunis, Tunisia - Tunis El Manar University, Medicine Faculty, Tunis, Tunisia
| | - Sihem El Aidli
- National Center of Pharmacovigilance, Tunis, Tunisia - Tunis El Manar University, Medicine Faculty, Tunis, Tunisia
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Badr D, Kurban M, Abbas O. Metformin in dermatology: an overview. J Eur Acad Dermatol Venereol 2013; 27:1329-35. [PMID: 23437788 DOI: 10.1111/jdv.12116] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2012] [Accepted: 01/21/2013] [Indexed: 11/26/2022]
Abstract
For several decades, metformin has been used as an oral hypoglycaemic agent, where it is the first line of treatment in overweight and obese type 2 diabetic patients. This is because it decreases the hepatic glucose output and acts as an insulin sensitizer by increasing the glucose utilization by muscles and adipocytes. As a result of the improvement in glycaemic control, serum insulin concentrations decline slightly, thus improving hyperinsulinaemia and its signs. In addition, it has been shown that metformin has platelet anti-aggregating and antioxidant effects. These pharmacological properties have allowed metformin to be effective in non-diabetic situations including cutaneous conditions. This is an evidence-based review on the use of metformin in the treatment of skin disorders such as hirsutism, acne, hidradenitis suppurativa, acanthosis nigricans, psoriasis, skin cancer, among others. In addition, cutaneous side-effects such as leukocytoclastic vasculitis, bullous pemphigoid, psoriasiform drug eruption, lichen planus and acute alopecia have been associated with metformin use and are discussed in the article.
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Affiliation(s)
- D Badr
- Department of Dermatology, American University of Beirut Medical Center, Beirut, Lebanon
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Czarnowicki T, Ramot Y, Ingber A, Maly A, Horev L. Metformin-induced leukocytoclastic vasculitis: a case report. Am J Clin Dermatol 2012; 13:61-3. [PMID: 21846159 DOI: 10.2165/11593230-000000000-00000] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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