Dermatology
Case Report
Mucosal Pigmentation after Oral Lichen planus Treatment with Topical TacrolimusFricain J.C.a · Sibaud V.c · Campana F.a · Lepreux S.b · Taïeb A.caUFR Odontologie et bService d’Anatomopathologie, Hôpital Pellegrin, et cService de Dermatologie, Hôpital Saint-André, Bordeaux, France
|
|
Log in to MyKarger to check if you already have access to this content.
KAB
Buy a Karger Article Bundle (KAB) and profit from a discount!
If you would like to redeem your KAB credit, please log in.
Save over 20% compared to the individual article price.
Article / Publication Details
Received: May 06, 2004
Accepted: September 17, 2004
Published online: April 11, 2005
Issue release date: March 2005
Number of Print Pages: 4
Number of Figures: 2
Number of Tables: 0
ISSN: 1018-8665 (Print)
eISSN: 1421-9832 (Online)
For additional information: https://www.karger.com/DRM
Abstract
Erosive oral lichen planus (OLP) is a painful chronic inflammatory disease that is sometimes resistant to systemic or topical therapies. Topical steroids remain the mainstay of therapy, but topical tacrolimus has recently been used to treat OLP resistant to topical corticosteroids. Topical tacrolimus appears as an effective and safe treatment of symptomatic OLP. We report the first histopathologically documented case of oral mucosa pigmentation after OLP treatment with topical tacrolimus. The relation between tacrolimus treatment and staining was suggested by the appearance of pigmentation during topical tacrolimus treatment and its clinical disappearance when treatment was stopped. Histopathology showed an increase in melanocyte numbers and melanogenesis.
© 2005 S. Karger AG, Basel
Related Articles:
References
- Cribier B, Frances C, Chosidow O: Treatment of lichen planus: An evidence based medicine analysis of efficacy. Arch Dermatol 1998;134:1521–1530.
- Vente C, Reich K, Rupprecht R, Neuman C: Erosive mucosal lichen planus: Response to topical treatment with tacrolimus. Br J Dermatol 1999;140:338–342.
- Kaliakatsou F, Hodgson TA, Lewsey JD, Hegarty AM, Murphy AG, Porter SR: Management of recalcitrant ulcerative oral lichen planus with topical tacrolimus. J Am Acad Dermatol 2002;46:35–41.
- Morrison L, Kratochvil J, Gorman A: An open trial of topical tacrolimus for erosive oral lichen planus. J Am Acad Dermatol 2002;47:617–620.
-
Olivier V, Lacour JP, Mousnier A, Garraffo R, Monteil R, Ortonne JP: Treatment of chronic erosive oral lichen planus with low concentration of topical tacrolimus. Arch Dermatol 2002;138:1135–1138.
External Resources
- Rozycki TW, Rogers RS, Pittezkow MR, Evoy MT, David MDP: Topical tacrolimus in the treatment of symptomatic oral lichen planus: A series of 13 patients. J Am Acad Dermatol 2002;46:27–34.
- Shen J, Peduis-Leftick A: Mucosal staining after using topical tacrolimus to treat erosive oral lichen planus. J Am Acad Dermatol 2004;50:326.
-
Kang S, Lucky AW, Pariser D, Lawrence I, Hanifin JM: Long-term safety and efficacy of tacrolimus ointment for the treatment of atopic dermatitis in children. J Am Acad Dermatol 2001;44:S58–S64.
External Resources
- Freeman AK, Linowski GJ, Brady C, Lind L, Vanveldhuisen P, Singer G, et al: Tacrolimus ointment for the treatment of psoriasis on the face and intertriginous areas. J Am Acad Dermatol 2003;48:564–568.
- Richter-Hintz D, Schuppe HC, Homey B, Lehmann P, Ruzicka T: Topical tacrolimus is effective in the treatment of pyoderma gangrenosum. J Am Acad Dermatol 2000;42:304–305.
- Lepe V, Moncada B, Castanedo-Cazares JP, Torres-Alvarez MB, Ortiz CA, Torres-Rubalcava AB: A double-blind randomized trial of 0.1% tacrolimus vs 0.05% clobetasol for the treatment of childhood vitiligo. Arch Dermatol 2003;139:581–585.
- Hodgson TA, Sahni N, Kaliakatsou F, Buchanan JA, Porter SR: Long-term efficacity and safety of topical tacrolimus in the management of ulcerative/erosive oral lichen planus. Eur J Dermatol 2003;13:466–470.
-
Vemoto S, Tanaka K, Tokunaga Y: Long-term use of FK 506 in living related liver transplantation. Transplant Int 1994;7:S81–S84.
External Resources
-
Brunetel L, Le Gall F, Delaval Y, Sixou JL, Dabadie A, Bonnaure-Mallet M: An unusual oral chronic graft versus host disease like syndrome following a liver transplant. J Periodontol 2003;74:352–356.
Article / Publication Details
Received: May 06, 2004
Accepted: September 17, 2004
Published online: April 11, 2005
Issue release date: March 2005
Number of Print Pages: 4
Number of Figures: 2
Number of Tables: 0
ISSN: 1018-8665 (Print)
eISSN: 1421-9832 (Online)
For additional information: https://www.karger.com/DRM
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

Get Permission