Clinical Improvement in Oral Lichen Planus: A Case Report at Dr Batra's

Abstract

Background

Oral lichen planus (OLP) is a chronic inflammatory mucocutaneous disorder that may produce persistent oral lesions, discomfort, pain or burning and can have an important effect on quality of life. Long-term clinical observation is therefore useful for documenting changes in symptoms and lesion status.

Case Presentation

A patient diagnosed with oral lichen planus was followed longitudinally using a disease-specific questionnaire assessing lesion distribution, predominant symptoms, itching, pain/burning, triggers, stress and functional impact. At follow-up, the recorded weight was 62.4 kg. The patient demonstrated a marked reduction in oral lichen planus lesions. Associated throat pain and itching had reduced, while toothache previously experienced during brushing had also improved. Hair fall had reduced to approximately 60–70 strands/day. Headache and vertigo were documented as completely relieved, and weakness had reduced. Frequent urination remained present.

Outcome

The clinical record demonstrated substantial improvement across multiple patient-reported symptoms, with particularly marked improvement in oral lichen planus lesions, headache and vertigo.

Conclusion

This case demonstrates the usefulness of structured, disease-specific symptom documentation for longitudinal assessment of a patient with oral lichen planus. The observed improvement is based on the supplied clinical follow-up record; because details such as standardized lesion scoring, histopathology, treatment allocation and a controlled comparator were not provided, causal treatment efficacy cannot be established from this case alone.