Is it a Common Oral Lichen Planus or a Part of Grinspan’s Syndrome?

Abstract

Introduction: Grinspan’s syndrome has triad of clinical symptoms: Oral Lichen Planus (OLP), diabetes
mellitus, and hypertension. OLP is a disorder commonly found in oral mucosa. The symptoms and clinical
features are often misdiagnosed which potentially harm the patients.
Discussion: A 74-year-old female had chief complaint of ulcers on the lower lip for 2 years. She had history
of diabetes mellitus and hypertension for years. Previously, she went to dentist with an alleged herpes simplex
virus infection and was treated with antivirus for a week but no improvement. The patient is diagnosed with
erosive type OLP. Exploration was necessary to find out whether it was OLP or part of Grinspan Syndrome.
Conclusion: The diagnosis was Grinspan’s Syndrome. Dentists must be familiar with medical management
of hypertension and diabetes mellitus to take a role in the diagnosis and treatment of oral lesion with both of
diseases in order to maintain optimum health.