Lichenoid and Granulomatous Stomatitis Diagnosis and Treatment: Report of Three Cases
نویسندگان
1 Department of Oral Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Department of Oral Pathology, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Department of Oral Pathology, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4 Department of Oral Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5 Department of Internal Medicine, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
6 Department of Oral Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
7 Department of Oral Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
doi
10.22037/jds.v43i4.46981چکیده
Objective(s): Lichenoid and granulomatous stomatitis (LGS) is a rare inflammatory condition of the oral mucosa that clinically mimics oral lichen planus, posing diagnostic and therapeutic challenges. Case: This report described three cases of LGS in adults aged 55–63, each presenting with persistent burning sensations and chronic ulcers of the upper labial mucosa. Histopathologic evaluation in all cases revealed features consistent with lichenoid and granulomatous inflammation. Despite initial misdiagnosis and ineffective corticosteroid treatment, all patients showed marked improvement with chlorhexidine mouthwash. Conclusion: Accurate diagnosis of LGS is essential due to its resistance to standard corticosteroid therapies commonly used for similar lesions. Chlorhexidine may be an effective alternative, and early histopathological confirmation is recommended for proper management.
