Erschienen in:
01.09.2015 | Original Article
Oral Lichen Planus in IBD Patients: A Paradoxical Adverse Effect of Anti-TNF-α Therapy
verfasst von:
Patrícia Andrade, Susana Lopes, Andreia Albuquerque, Filipa Osório, Joana Pardal, Guilherme Macedo
Erschienen in:
Digestive Diseases and Sciences
|
Ausgabe 9/2015
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Abstract
Introduction and aims
The efficacy of tumor necrosis factor alpha (TNF-α) inhibitors in the treatment of Inflammatory Bowel Disease (IBD) is well established. Many cutaneous and mucosal lesions have been described under anti-TNF-α therapy, some of them being considered as paradoxical. In this series we aimed to review the cases of oral lichen planus (OLP) in IBD patients under treatment with anti-TNF-α agents.
Methods
Histologic findings from oral lesions of IBD patients treated with anti-TNF were revised.
Results
Three female patients with IBD developed oral lichen planus (OLP) after starting anti-TNF-α therapy. Other etiologies were excluded.
Conclusions
In light of the increasing use of TNF-α inhibitors the occurrence of OLP is a potentially emerging side effect, thus we recommend a careful monitoring for oral manifestations in IBD patients treated with anti-TNF-α agents.