Oral lichenoid lesions as an immune‐related adverse event: A rare case report and literature review

Author:

Okamura Takeshi12ORCID,Koshinuma Shinya1,Noujima Mai3,Sugiura Shuji4,Fujimoto Noriki4,Takaoka Kazuki1

Affiliation:

1. Department of Oral and Maxillofacial Surgery Shiga University of Medical Science Otsu Shiga Japan

2. Department of Oral and Maxillofacial Surgery, School of Life Dentistry at Tokyo The Nippon Dental University Tokyo Japan

3. Department of Human Pathology Shiga University of Medical Science Otsu Shiga Japan

4. Department of Dermatology Shiga University of Medical Science Otsu Shiga Japan

Abstract

AbstractBackgroundReports of oral lichenoid lesions (OLLs) as an immune‐related adverse event (irAE) are rare.Case presentationAn 81‐year‐old man was visited with a complaint of severe pain in the oral mucosa. He had received nivolumab for relapsed malignant melanoma. Pathological examination showed acanthotic and destructive changes in the epithelium with inflammatory infiltrates and CD8 positivity. Based on these findings, the diagnosis was OLL as an irAE. Oral prednisolone was started, and the lesion gradually resolved.ConclusionThe literature review suggested that OLL can appear as an irAE on the buccal mucosa and tongue after a varying number of cycles of immune checkpoint inhibitors. Routine surveillance of the oral mucosa is needed.

Publisher

Wiley

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