BackgroundLichen sclerosus is a mucocutaneous autoimmune disease which might be initiated by infectious pathogens as Borrelia Bugrdorferi and HPV. This disease shows destructive potential and is rarely diagnosed in oral mucosa. The purpose of this paper is to evaluate the characteristics of cases described in literature from 1957 to 2016, looking to provide valuable evidence about clinicopathologic features of this disease.Material and MethodsA MedLine search was performed aiming to find oral lichen sclerosus cases in literature and discuss its demographical and pathological characteristics as well as treatment methods performed for these cases.Results34 oral lichen sclerosus cases with histological confirmation and one clinicopathologic study linked with this disease were found in literature. Oral lichen sclerosus affected most commonly female patients, were asymptomatic and not associated to skin or genital lesions. Furthermore, affected patients in a range of 7 – 70-years old (Average age = 31.81).ConclusionsOral lichen sclerosus is a rare pathologic process with slight predilection for prepubertal girls, for which topical corticosterois have demonstrated satisfactory therapeutic value. Key words:Lichen sclerosus et atrophicous, skin diseases, mouth disease, autoimmune diseases, mouth.

No abstract

Dear madam,We would like to make an alert for the importance of dental surgeons to recognise oral manifestations suggestive of systemic and multi organs and systems diseases. A 62-year-old man presented at the Department of Oral Diagnosis of the Dental Specialties Center of the City of Fernand opolis, Brazil, for the diagnosis and management of multiple lesions in gingiva prior to prosthetic dental rehabilitation. In anamnesis he reported to be non-smoker and non-drinker. His medical history revealed arterial hypertension under medical control. Extraoral examination of the face revealed verrucous papillomatous lesions around the nose compatible with facial trichilemmoma (Fig. 1A). On intraoral examination we observed multiple coalescent papules and nodules arising in upper and lower lip mucosa, upper alveolar ridge, and hard and soft palate (Fig. 1B). Multiple nodules and papules arising in oral mucosa might be suggestive of syndromic conditions, therefore exploratory endoscopy and colonoscopy were performed and