Lollipop-induced oral lichenoid reaction in a child

Background Oral lichenoid reactions (OLRs) have been rarely reported in pediatric patients. Case Report This article reports an unusual case of a 15‐year‐old girl who had white plaques in tongue and buccal mucosa oral which initially were diagnosed as oral lichen planus (OLP). At first, the patient...

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Bibliographic Details
Published in:	International journal of paediatric dentistry Vol. 26; no. 6; pp. 486 - 489
Main Authors:	Bastos, Daniela B., Santos, Ingrid S., Valente, Vitor B., Biel, Antônio Carlos O., Felipini, Renata C., Biasoli, Eder R., Miyahara, Glauco I., Bernabé, Daniel G.
Format:	Journal Article
Language:	English
Published:	England Blackwell Publishing Ltd 01-11-2016
Subjects:	Administration, Topical Adolescent Biopsy Candy - adverse effects Dental care Dentistry Diagnosis, Differential Female Glucocorticoids - administration & dosage Humans Lichen Planus, Oral - diagnosis Mouth Mucosa Oral diseases Pediatrics Tongue
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Summary:	Background Oral lichenoid reactions (OLRs) have been rarely reported in pediatric patients. Case Report This article reports an unusual case of a 15‐year‐old girl who had white plaques in tongue and buccal mucosa oral which initially were diagnosed as oral lichen planus (OLP). At first, the patient and her family denied systemic or local medication use. Biopsy was performed, and histopathological aspects were suggestive of OLP. Despite the attempt of treatment with topical corticoid, the lesions did not recede. Patient's behavior and medical history were again investigated and revealed that she had been using almost daily in her school an artificially colored and flavored lollipop. One week after removing lollipop use behavior, the oral lesions showed complete resolution and OLR diagnosis was defined. Conclusion The present case denotes that OLR should be considered in the differential diagnosis of oral white plates in children and artificially colored sweets can be its causal agent.
Bibliography:	istex:22319F26D7AA64B8291ADA75876DC9A5A8E4D430 ark:/67375/WNG-7G12BVP1-Z ArticleID:IPD12240 ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 ObjectType-Article-1 ObjectType-Feature-2
ISSN:	0960-7439 1365-263X
DOI:	10.1111/ipd.12240