Lollipop-induced oral lichenoid reaction in a child.
BACKGROUND
Oral lichenoid reactions (OLRs) have been rarely reported in pediatric patients.


METHODS
This article reports an unusual case of a 15-year-old girl who had white plaques in tongue and buccal mucosa oral which initially were diagnosed as oral lichen planus (OLP). At first, the patient and her family denied systemic or local medication use. Biopsy was performed, and histopathological aspects were suggestive of OLP. Despite the attempt of treatment with topical corticoid, the lesions did not recede. Patient's behavior and medical history were again investigated and revealed that she had been using almost daily in her school an artificially colored and flavored lollipop. One week after removing lollipop use behavior, the oral lesions showed complete resolution and OLR diagnosis was defined.


CONCLUSIONS
The present case denotes that OLR should be considered in the differential diagnosis of oral white plates in children and artificially colored sweets can be its causal agent.
Oral Oncology Center, Araçatuba Dental School, UNESP - Univ Estadual Paulista, São Paulo, Brazil.|Department of Pathology and Clinical Propedeutics, Araçatuba Dental School, UNESP - Univ Estadual Paulista, São Paulo, Brazil.
Daniela B
DB
Bastos
Oral Oncology Center, Araçatuba Dental School, UNESP - Univ Estadual Paulista, São Paulo, Brazil.|Department of Pathology and Clinical Propedeutics, Araçatuba Dental School, UNESP - Univ Estadual Paulista, São Paulo, Brazil.
Ingrid S
IS
Santos
Oral Oncology Center, Araçatuba Dental School, UNESP - Univ Estadual Paulista, São Paulo, Brazil.|Department of Pathology and Clinical Propedeutics, Araçatuba Dental School, UNESP - Univ Estadual Paulista, São Paulo, Brazil.
Vitor B
VB
Valente
Allergy Private Clinic, São Paulo, Brazil.
Antônio Carlos O
AC
Biel
Department of Pathology and Clinical Propedeutics, Araçatuba Dental School, UNESP - Univ Estadual Paulista, São Paulo, Brazil.
Renata C
RC
Felipini
Oral Oncology Center, Araçatuba Dental School, UNESP - Univ Estadual Paulista, São Paulo, Brazil.|Department of Pathology and Clinical Propedeutics, Araçatuba Dental School, UNESP - Univ Estadual Paulista, São Paulo, Brazil.
Eder R
ER
Biasoli
Oral Oncology Center, Araçatuba Dental School, UNESP - Univ Estadual Paulista, São Paulo, Brazil.|Department of Pathology and Clinical Propedeutics, Araçatuba Dental School, UNESP - Univ Estadual Paulista, São Paulo, Brazil.
Glauco I
GI
Miyahara
Oral Oncology Center, Araçatuba Dental School, UNESP - Univ Estadual Paulista, São Paulo, Brazil. danielbernabe@foa.unesp.br.|Department of Pathology and Clinical Propedeutics, Araçatuba Dental School, UNESP - Univ Estadual Paulista, São Paulo, Brazil. danielbernabe@foa.unesp.br.
Daniel G
DG
Bernabé
D000287:Administration, Topical; D000293:Adolescent; D001706:Biopsy; D002182:Candy / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D017676:Lichen Planus, Oral / Q000175:diagnosis*; D009061:Mouth Mucosa; D014059:Tongue
D005938:Glucocorticoids