{"id":42720,"date":"2016-06-24T14:07:00","date_gmt":"2016-06-24T18:37:00","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=42720"},"modified":"2016-06-24T20:09:05","modified_gmt":"2016-06-25T00:39:05","slug":"como-puedo-diferenciar-la-reaccion-liquenoide-del-liquen-plano","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/42720","title":{"rendered":"\u00bfC\u00f3mo puedo diferenciar la reacci\u00f3n liquenoide del liquen plano?"},"content":{"rendered":"<p><em>La reacci\u00f3n liquenoide es una reacci\u00f3n de la mucosa oral a algunos medicamentos \u00f3 a aleaciones met\u00e1licas usadas para restauraciones dentales. ??En este caso se observa muy leve pero pueden causar gran dolor debido a extensas ulceraciones. El diagn\u00f3stico diferencial m\u00e1s importante es el liquen plano.<\/em><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2016\/06\/reaccion-liquenoide.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-42721\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2016\/06\/reaccion-liquenoide-390x390.jpg\" alt=\"reaccion-liquenoide\" width=\"390\" height=\"390\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2016\/06\/reaccion-liquenoide-390x390.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2016\/06\/reaccion-liquenoide-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2016\/06\/reaccion-liquenoide-768x768.jpg 768w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2016\/06\/reaccion-liquenoide.jpg 917w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><\/p>\n<p class=\"p1\"><span class=\"s1\"><strong>\u00bfC\u00f3mo puedo diferenciar la reacci\u00f3n liquenoide del liquen plano?<\/strong><br \/>\n<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Debemos considerar varios aspectos:<br \/>\n<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">1. Historia de consumo de algunos medicamentos inductores de lesiones.<br \/>\n2. Presencia de restauraciones met\u00e1licas extensas contiguas a la lesi\u00f3n (como la foto cl\u00ednica).<br \/>\n3. Generalmente son lesiones unilaterales. El liquen plano bucal es bilateral.<br \/>\n4. En la histopatolog\u00eda podemos observar un infiltrado mixto de linfocitos y plasmocitos.<br \/>\n5. Finalmente, al eliminar el factor causante, la lesi\u00f3n desaparece.<br \/>\nDiferenciar una reacci\u00f3n liquenoide de un liquen plano es sumamente importante pues el pron\u00f3stico y el manejo son completamente distintos.<\/span><\/p>\n<p class=\"p1\"><strong>Referencias<\/strong><\/p>\n<p class=\"p3\"><span style=\"font-size: 10pt;\"><em><span class=\"s1\">Ismail SB, Kumar SK, Zain RB. Oral lichen planus and lichenoid reactions: etiopathogenesis, diagnosis, management and malignant transformation.<span class=\"Apple-converted-space\">\u00a0 <\/span>J Oral Sci. 2007 Jun;49(2):89-106.<\/span><\/em><\/span><\/p>\n<p class=\"p3\"><span style=\"font-size: 10pt;\"><em><span class=\"s1\">Schlosser BJ. Lichen planus and lichenoid reactions of the oral mucosa. Dermatol Ther. 2010 May-Jun;23(3):251-67.<\/span><\/em><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Reacci\u00f3n a algunos medicamentos \u00f3 a aleaciones met\u00e1licas usadas para restauraciones dentales<\/p>\n","protected":false},"author":80,"featured_media":42721,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[598],"tags":[],"class_list":["post-42720","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-enfermedades-de-la-boca"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/42720","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/users\/80"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=42720"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/42720\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media\/42721"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=42720"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=42720"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=42720"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}