Abstract

SERRANO GARCIA, Silvia Alejandra; ROJO BOTELLO, Norma Rebeca  and  QUEZADA RIVERA, Daniel. Enalapril-induced lichenoid reaction: Clinical case report. Rev. Odont. Mex [online]. 2015, vol.19, n.1, pp.51-56. ISSN 1870-199X.

Enalapril is a drug widely used due to its effectiveness in the treatment of blood hypertension cases, nevertheless, it occasionally generates lichenoid reactions as negative effect. The clinical picture of this alteration can be varied, in the skin and/or oral mucosae, it can induce lesions similar to those of lichen planus. These lesions could be the result of hypersensitivity reactions of a body which is susceptible to this drug. The present article documents the case of a 49 year old female patient, who sought consultation due to spontaneous gingival bleeding, bleeding caused by dental brushing, pain, and burning sensation with acid, hot or spicy foods. The condition had been present for the last three years. The patient had been repeatedly treated with antibiotics and antifungal drugs; nevertheless, these treatments proved to be unsuccessful. Oral Pathology, Dermatology and Periodontics Departments emitted a multi-disciplinary diagnosis. Oral treatment consisted of teaching appropriate oral hygiene techniques along with topical corticoid therapy, and substitution of the drug which induced the lesions.

Keywords : Lichenoid reaction; enalapril; allergic and hypersensitivity reactions.

        · abstract in Spanish     · text in English | Spanish     · English ( pdf ) | Spanish ( pdf )