Uarlei Nogueira Porto, M. R. Gonçalves, Flávia Cristina Rosas De Carvalho
Jan 1, 2020
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Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Abstract
Many factors have been studied in order to identify the causes of oral lichen planus (OLP), such as use of drugs, autoimmune diseases, diabetes, and hepatitis C virus infection. Some researchers have been trying to find a connection between psychological states and OLP. The authors report a case of a 36-year-old female patient who went to the stomatology care service complaining of a "white ball on the tongue," which was causing her some discomfort over a year. During anamnesis, the patient reported taking lithium and bupropion (treating depression and anxiety, respectively). On physical examination, it was possible to identify some keratotic white lesions and erythematous areas on both jugal mucosae and white plaques at the back of the tongue. After incisional biopsy, the diagnosis of OLP by histopathologic study was done. The patient was advised of her disease. Corticoid and topical antifungals were prescribed to her. She is now under medical observation.