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KMID : 0355220120370010009
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Journal of Korean Academy Oral Medicine
2012 Volume.37 No. 1 p.9 ~ p.17
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A Study on Life Changes of Oral Lichen Planus Patients by SRRS
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Ko Myung-Yun
Park Su-Hyeon
Ok Soo-Min
Heo Jun-Young
Ahn Yong-Woo
Jeong Su-Min
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Abstract
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Lichen planus is a chronic inflammatory mucocutaneous disease that affects multiple sites of the body. Often it involves the oral mucosa, but also involve other sites such as skin, genitals, scalp and nails. There is no clear cause of oral lichen planus (OLP), current data suggest that OLP is a T-cell mediated autoimmune disorder which may have an altered self-peptide triggering apoptosis of oral epithelial cells. Usually OLP appears in middle-aged women which tends to be chronic with periods of exacerbation and remission. There are many theories those causes the OLP such as psychological and environmental factors, genetic tendency, drugs and more. 60-70% of lichen planus is accompanied by oral lesions, and more than half of its cases are not able to defined by their skin. In this study, among all the possibility(possible) theories, we tried to evaluate the influence of emotional stress in exacerbating OLP. There were thirty patients with a clinical or histological diagnosis of OLP and other thirty subjects who did not show any signs of systemic disorders include OLP. They were evaluated by using modified Holmes and Rahe’s Social Readjustment Rating Scale (SRRS). As a result, a significantly higher level of stress was found in the OLP patients than the control group. Therefore it could be concluded that psychological stressors play an important role in the exacerbating OLP.
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KEYWORD
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Oral lichen planus, Social readjustment rating scale (SRRS), Stressful life events
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