Journal of the American Dental Association, Vol 119, Issue 6, 737-739
Copyright © 1989 by American Dental Association
White plaque of the dorsal tongue
DM Arendt,
JC Whitt,
Vinton JR,
and
LD Kiselica
Laboratory Medicine Department, Naval Hospital 92134-5000.
A case of oral lichen planus has been discussed. The causes, associated conditions, laboratory tests, and treatment were addressed. The use of cyanoacrylate "super glue" may have acted as a contactant and promoted the patient's localized lichenoid process. No additional treatment was provided other than confirmation of clinical suspicions. The most important factor was ruling out the possibility of a dysplastic or a malignant process. Should the patient become symptomatic, the treatment would probably start out with kaolin and pectin (Kaopectate) lidocaine/benadryl rinses. Should supportive therapy fail, alternative regimens including topical to systemic corticosteroids would be considered.