Oral discoid lupus erythromatosus: a clinical enigma

Shams Ul Nisa., Tajinder Kaur Saggu and Samruddhi S. Metha

Lupus erythematosus (LE) is an autoimmune disorder, in which the body’s own immune system attacks its own tissues, especially components of the cellular nuclei. The lesions mostly occur in sun-exposed areas like face, neck, ears and upper trunk. The oral discoid lesions are characterized clinically by the presence of white papules, central erythema with a border zone of irradiating white striae and peripheral telengiectasia. It can occur anywhere in the oral cavity. Lupus erythromatosus causes desquamative lesions which are non plaque induced inflammatory gingival lesions. It is not a specific disease entity, but a gingival response associated with a variety of conditions. The most common clinical presentation is an erythromatosus, centrally atrophic plaque with surface telangiectasia and pigmented borders. This paper reports two rare cases of DLE involving the two different sites and was treated with combined medical and surgical therapy with splendid outcome.

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