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Lichenoid Contact Stomatitis
Is Inorganic Mercury the Culprit?
Arch Dermatol. 2004;140:1524-1525.
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The article by Laeijendecker et al1 in this month’s Archives on the relationship between oral lesions of lichen planus and allergy to amalgam dental restorations is another attempt to resolve some of the controversies surrounding this topic. The issues are several. First, what should we call these lesions: oral lichenoid lesions (OLL), oral lichenoid reactions, oral lichenoid tissue reactions, lichenoid contact stomatitis, lichen planus–like lesions, or oral lichen planus (OLP)?
Second, is the clinical benefit from removal related to the removal of a long-term source of antigen stimulation, producing a delayed hypersensitivity reaction, or to the removal of a source of trauma such as friction or bimetallism, producing a Koebner phenomenon?
Third, what role does patch testing play?
Nomenclature is always fun and often controversial. Some would be rigid and consider that OLP represents only those lesions for which no trigger can be identified and are "idiopathic." This excludes drug-induced . . . [Full Text of this Article]
AUTHOR INFORMATION
Roy S. Rogers III, MD;
Alison J. Bruce, MD
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RELATED ARTICLE
Oral Lichen Planus and Allergy to Dental Amalgam Restorations
Ronald Laeijendecker, Sybren K. Dekker, Piet M. Burger, Paul G. H. Mulder, Theodoor Van Joost, and Martino H. A. Neumann
Arch Dermatol. 2004;140(12):1434-1438.
ABSTRACT
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Oral Lichen Planus: Mercury and Its Kin
Pigatto et al.
Arch Dermatol 2005;141:1472-1473.
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