Immunopathogenesis of oral lichen planus and recurrent aphthous stomatitis.

Abstract:

:Oral mucosal bullous/desquamative/ulcerative diseases involve immunopathological mechanisms that account for loss of adhesion between contiguous keratinocytes or to structures within the basal lamina. Some are antibody mediated, in which specific adhesion molecules of the desmosome, hemidesmosome, and basement membrane become antigenic targets. Oral lichen planus and recurrent apthous ulcers, although manifesting disparate clinical appearances and natural history, share immunopathological features that involve T cell-mediated immunity. Although the antigens, haptens, or autoantigens are not usually apparent, current research poses the hypothesis that both of these common oral mucosal diseases are a delayed-type hypersensitivity or cell-mediated response to an antigenic stimulus residing within the epithelium. This article reviews the research evidence for this hypothesis.

journal_name

Semin Cutan Med Surg

authors

Eversole LR

doi

10.1016/s1085-5629(97)80018-1

subject

Has Abstract

pub_date

1997-12-01 00:00:00

pages

284-94

issue

4

eissn

1085-5629

issn

1558-0768

pii

S1085-5629(97)80018-1

journal_volume

16

pub_type

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