Oral mucosal ringworm

Many people are more likely to get some oral diseases. If they are not treated in time, it will cause damage to our oral lining. Damage to the oral lining is generally caused by fungal infection, and it will also be seriously disturbed when we eat, and even cause the damaged area to become larger and larger. So how to treat oral mucosa?

Lichen planus is actually not ringworm, but a relatively common superficial, non-infectious, chronic inflammatory disease that often occurs in the oral mucosa, but can also occur on the skin, genitals, fingernails or toenails. Oral lichen planus is characterized by the presence of lichen planus on the mucosa of the oral cavity (cheeks, tongue, lips, palate, etc.).

Disease classification

1/3 Erosive

Erosion often occurs on the basis of congestion, so it is also called congestive erosion type. There are white patterns or papules around the erosion, and the pain is obvious. It grows on the cheeks, lips, vestibule groove, retromolar area, and tongue ventral area.

2/3 atrophic

It is more common on the back of the tongue, appearing as a slightly bluish white patch that is slightly concave. The lingual papillae are atrophied, resulting in a smooth surface of the lesion. When it occurs on the gums, there will be congestion or superficial erosion, and white patterns can be seen nearby.

3/3 reticulated type

The linear white or grayish white patterns are connected by small papules. The patterns can form various shapes such as net, tree, ring or semi-ring, etc., or they can appear as white patches. It can occur in any part of the oral mucosa, most commonly in the cheeks, and is mostly symmetrical.

Clinical manifestations

1/3 Skin lesions Lichen planus is one of many lichen-like skin diseases. The lesions are characterized by flat, shiny, light purple-red polygonal papules. The papules are the size of mung beans, with clear edges, hard and dry texture, and look like moss after fusion. The affected area is rough, with skin wrinkles visible between the papules, and there are many scratches due to itching. Apply paraffin oil on the surface of the papules and observe under a magnifying glass, you can see fine white lines, called Wickham lines. The therapeutic effect of skin lesions is generally better than that of mucous membrane lesions.

Damage to 2/3 fingernails and/or toenails is often symmetrical, but it is rare for all ten fingernails (toenails) to be affected at the same time. The nail becomes thinner and dull, with depressions when pressed. Sometimes red needle-like dots appear on the nail bed, which are painful when pressed. The surface of the nail can appear as fine longitudinal grooves, dot gaps, and cut surfaces (which look like a flat surface after being cut off by a sharp blade). Severe damage to the nails can cause the nails to fall off and may also cause ulcers and necrosis. In some cases, hair loss may occur in addition to nail damage.

3/3 of the oral mucosal lesions were mainly characterized by pearly white streaks. The white lines can extend in all directions, and the entire line is not "cut" by the red lines. When the white lines are dense, they can be interwoven into a network, and when they are sparse, they can be tree-like. They can also be single lines or coiled into a ring. Although there are many types, the classification has no important clinical significance. The lesions often have obvious bilateral symmetry, the mucosa is soft, with normal elasticity, but feels rough and is mildly irritating and painful.