关键词: Diagnostic grading oral lichen planus staging

来  源:   DOI:10.4103/jpbs.jpbs_1163_23   PDF(Pubmed)

Abstract:
Lichen planus (LP) is a chronic, immune-mediated mucocutaneous disorder increasingly becoming common in the general population with female predominance. Clinically, there are different forms of lichen planus with the presence of the main characteristic feature of Wickham striae. Literature, to date, is abundant with various scoring systems of oral lichen planus, and among them, the most commonly followed scoring system was the one proposed by the Thongprasom system because of its simplicity and ease of application.
UNASSIGNED: The aim of the present study is to critically review all the disease scoring systems on oral lichen planus (OLP) that have been reported in the literature during the past decades. A systematic literature search was performed using PUBMED, MEDLINE, EMBASE, and COCHRANE Library with language restriction to English. The search was carried out incorporating the published literature from 1980 to 2020 using the MeSH (medical subject heading) terms. A literature search was done using keywords: Staging, Grading, Oral lichen planus, Diagnostic, and Therapeutic. Out of 25 publications, related to search strategy, 22 full articles, which were related to the disease scoring system for oral lichen planus, were acquired for further inspection. Out of the 22 articles, 15 articles met the inclusion criteria. The data was collected and a brief summary of the studies regarding the different disease scoring systems for oral lichen planus was explained. Taking into consideration, the parameters were not included in the previous disease scoring system. A new proposal encompassing a scoring system for oral lichen planus considering the missing parameters along with an amalgamation of histopathological criteria of dysplasia is presented. It also proposes to grade and stage the lesions and recommend appropriate therapy for each of such lesions.
摘要:
扁平苔藓(LP)是一种慢性,免疫介导的皮肤粘膜疾病在女性为主的普通人群中越来越常见。临床上,有不同形式的扁平苔藓,存在Wickham纹状体的主要特征。文学,到目前为止,口腔扁平苔藓的各种评分系统丰富,其中,最常用的评分系统是Thongprasom系统提出的评分系统,因为它的简单性和易于应用。
本研究的目的是批判性地回顾过去几十年文献中报道的所有口腔扁平苔藓(OLP)的疾病评分系统。使用PUBMED进行了系统的文献检索,MEDLINE,EMBASE,和COCHRANE图书馆,语言限制为英语。使用MeSH(医学主题标题)术语,结合了1980年至2020年的已发表文献进行了搜索。使用关键词进行文献检索:分期,分级,口腔扁平苔藓,诊断,和治疗。在25种出版物中,与搜索策略有关,22篇全文这与口腔扁平苔藓的疾病评分系统有关,被收购以进行进一步检查。在22篇文章中,15篇文章符合纳入标准。收集了数据,并对有关口腔扁平苔藓不同疾病评分系统的研究进行了简要总结。考虑到,这些参数未包括在以前的疾病评分系统中.提出了一项新的建议,该建议包括考虑缺失参数的口腔扁平苔藓评分系统以及发育不良的组织病理学标准的合并。它还建议对病变进行分级和分期,并为每个此类病变推荐适当的治疗方法。
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