Lichen planus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Clinical and histopathological diagnosis of OLP, based on World Health Organization criteria modified by van Der Meij et al.. These criteria take into account the association between clinical criteria (presence of bilateral lesions, more or less symmetrical; appearance of grayish and white line-shaped plaques with reticular characteristic; erosive, atrophic, bullous and plaque lesions associated with reticular lesions in any location of the oral mucosa); and histopathological criteria (presence of a well-defined zone of cellular infiltrate in the form of a band, with increased number of intra-epithelial lymphocytes as well as signs of degeneration in the basal cell layer and absence of epithelial dysplasia; keratinocyte apoptosis in the intra-epithelial region. Associated with the clinical-histopathological diagnosis of OLP, patients should be over 18 years old and have painful symptoms.
Exclusion criteria
Exclusion criteria: Use of medications that can induce lichenoid reactions (antihypertensive drugs, anticonvulsants, non-steroidal anti-inflammatory drugs, antibiotics and diuretics); histological signs of dysplasia; pregnant or lactating patients; presence of orthodontic appliances; lesions close to amalgam restorations and medical contraindication to the use of fluconazole.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction of symptoms and signs of oral lichen planus using the Visual Analogue Scale and Thongprasom Classification, respectively, assessed weekly during active treatment (30 days) and 30, 60 and 90 days after the end of treatment. | — |
Secondary
| Measure | Time frame |
|---|---|
| Modulation of the expression of the transcription factor NF-B and the amount of T cells present by immunohistochemical analysis comparing the biopsy performed at the end of treatment with the initial biopsy. | — |
Countries
Brazil
Contacts
Universidade Estadual Paulista Júlio de Mesquita Filho