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American Journal of Ethnomedicine, 2014, Vol. 1, No. 1, 096-101
Available online at http://www.ajethno.com
© American Journal of Ethnomedicine
The Magic of Herbal Curcumin Therapy in
Recurrent Oral Lichen Planus
Sumanth Prasad, Savita Solanki*, Chinmaya BR, Shourya Tandon and
Ashwini B
S.G.T Dental College Gurgaon, Haryana, India
ABSTRACT
Oral lichen planus is a cell-mediated immune condition. It is one of the most
common dermatological disease present in the oral cavity. It is mostly found in
middle aged and elderly Indian population with a prevalence rate of 2.6%. The
purpose of this article is to highlight a case of oral lichen planus affecting a 22-
year-old male without concomitant cutaneous lesions who had been treated earlier
with topical steroid but repeated recurrence of the lesion made us to shift the
treatment from steroid to herbal curcumin which yielded positive results.
Keywords- Oral lichen planus, Curcumin, Herbal therapy.
INTRODUCTION
Oral lichen planus (OLP) is a
chronic inflammatory condition
characterized by mucosal lesions of varying
appearance and severity
3
. It has a global
prevalence of about 0.5% to 2%, with
prevalence rate of 2.6% in the Indian
population
2
. It occurs more commonly in
females with ratio of approximately 2:1
3,4
. It
tends to be more persistent and more
resistant to treatment
5
.
The clinical presentation of OLP
ranges from mild painless white keratotic
lesions to painful erosions and ulcerations.
Oral lichen planus is classified into reticular,
erosive, atrophic, and bullous types
6
. The
reticular form is the most common type and
presents as papules and plaques with
interlacing white keratotic lines (Wickham
striae) with an erythematous border. The
striae are typically located bilaterally on the
buccal mucosa, mucobuccal fold, gingiva,
and less commonly, the tongue, palate, and
lips. The reticular type has been reported to
occur significantly more often in men
compared to women and is usually
asymptomatic
7
. Erosive, atrophic, or bullous
type lesions cause burning sensation and
pain
8
.
The treatment of oral lichen planus is
corticosteroids which are widely used and
the dosage depends on the severity of the
lesion. The frequent use and misuse of
currently used therapeutic agents has led to
the evolution of resistant strains of common
pathogens as well as increased incidence of
adverse effects associated with their usage.
So the search for the alternative medicinal
treatment is still going on. Medicinal plants
have been used as a traditional treatment
agent for numerous human diseases in many
parts of world. In rural areas of developing