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All Journal ODONTO Dental Journal Dentino: Jurnal Kedokteran Gigi Odonto dental journal
Kus Harijanti
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Dentistry Health Professions Medicine & Pharmacology

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ALLERGIC CONTACT CHEILITIS DUE TO LIPSTICK Kus Harijanti; Yoli Sidharta Santosa
ODONTO : Dental Journal Vol 3, No 2 (2016): December 2016
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.3.2.138-144

Abstract

Allergic contact cheilitis is a common cause inflammation of the outer lip or vermillion margin. It is due to a type IV hypersensitivity reaction following contact with an allergen. Allergic contact cheilitis is more common in women than men. Lip cosmetics are the most common allergen source in women, while toothpastes allergy occur mostly in men. Purpose: To report the management of allergic contact cheilitis due to lip cosmetics. Case : A 22-years old woman complaint was dryness of the lips, cracking and peel off after using lip cosmetics since one week ago. Patient used new lips-cosmetics two weeks ago. No history to atopic allergy and no medication. Intra oral examination was normal. Management : patient was advised to avoid wearing lip-cosmetics. To relieve symptoms were given topical anti-inflammation non steroids, multivitamin and maintain to oral hygiene. Patient revered to patchtesting. Patient had strongly positive result to the tested lip cosmetics. Patient were given topical anti inflammation steroids and from dermatology department were given antihistamine tablets. Conclusion : Patch testing is the key to this diagnosis and for determining of contact allergen.
MANAGEMENT OF ULCERATIVE ORAL LICHEN PLANUS PREDISPOSED BY PSYCHOLOGICAL STRESS Rina Kartika Sari; Kus Harijanti; Adiastuti Endah P; Hening Tuti H
Dentino : Jurnal Kedokteran Gigi Vol 7, No 2 (2022)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v7i2.14632

Abstract

Background: Oral lichen planus (OLP) is a chronic inflammatory autoimmune oral mucosa disease. The ulcerative type of OLP presents as erythematous ulceration with mucosal erosions surrounding whitish striae. The aetiology of OLP is unknown, but can be predisposed by psychological factors. Purpose: Reporting ulcerative oral lichen planus predisposed by psychological stress. Case: A 36 years old woman complained very painful ulcer in the right buccal mucosa and a grey-purple lower lip lesion for a year. It had been treated with topical corticosteroids, antibiotics, tretinoin, and vitamins but did not heal. Extraoral examination on the lower vermillion showed bluish-purple macules, diffuse and irregular borders, rough and painful. Intraoral examination in the right buccal mucosa showed an irregular yellowish-white ulcer with an erythematous area and white striae. Case Management: Screening for psychological stress by DASS 42 showed moderate stress and severe anxiety. Autofluorescence examination showed no malignant transformation sign. A complete blood count test showed low neutrophil and lymphocyte count. ANA test was normal.  Systemic Methyl Prednisolone 8 mg was prescribed 2 tabs twice a day and tapered off after the lesion resolved within 1 week. Supportive treatments include Benzydamine HCl and multivitamins. Discussion: Stress, anxiety, and depression were possible factors of OLP mediated by the Hypothalamic-pituitary-adrenal (HPA) axis system and the Sympathetic-adrenal-medullary (SAM) system. Specific mechanisms are mediated by Antigen-specific CD8+ (CTLs) that are activated with the help of CD4+ T-cells. Non-specific mechanism mediated by MMP-9 activation. They led to the apoptosis of keratinocytes. Systemic corticosteroids are an important treatment for oral lichen planus that do not responded to topical steroids.  Conclusion: Oral Lichen Planus is a chronic inflammatory disease that affects the oral mucosa and can be predisposed by psychological stress. Corticosteroid is very effective to treat oral lichen planus, especially the erosive-ulcerative type.  Keywords: Oral Lichen Planus, Psychological Stress, Ulcerative
ALLERGIC CONTACT CHEILITIS DUE TO LIPSTICK Kus Harijanti; Yoli Sidharta Santosa
Odonto : Dental Journal Vol 3, No 2 (2016): December 2016
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (426.682 KB) | DOI: 10.30659/odj.3.2.138-144

Abstract

Allergic contact cheilitis is a common cause inflammation of the outer lip or vermillion margin. It is due to a type IV hypersensitivity reaction following contact with an allergen. Allergic contact cheilitis is more common in women than men. Lip cosmetics are the most common allergen source in women, while toothpastes allergy occur mostly in men. Purpose: To report the management of allergic contact cheilitis due to lip cosmetics. Case : A 22-years old woman complaint was dryness of the lips, cracking and peel off after using lip cosmetics since one week ago. Patient used new lips-cosmetics two weeks ago. No history to atopic allergy and no medication. Intra oral examination was normal. Management : patient was advised to avoid wearing lip-cosmetics. To relieve symptoms were given topical anti-inflammation non steroids, multivitamin and maintain to oral hygiene. Patient revered to patchtesting. Patient had strongly positive result to the tested lip cosmetics. Patient were given topical anti inflammation steroids and from dermatology department were given antihistamine tablets. Conclusion : Patch testing is the key to this diagnosis and for determining of contact allergen.
Co-Authors Adiastuti Endah P Hening Tuti H Rina Kartika Sari Yoli Sidharta Santosa