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Dr. Bilaal Mirza

Dr. Bilaal Mirza

Birmingham Dental Hospital

Dr. Muhammed Bilaal Mirza is a dedicated dentist and Dental Core Trainee at Birmingham Dental Hospital, gaining experience across specialties including oral surgery, oral medicine, and sedation. With a strong passion for oral surgery, he aspires to pursue specialty training in the field. His commitment to advancing dental practice is reflected in his first peer-reviewed publication in the British Dental Journal, highlighting the vital role of general dental practitioners in identifying and referring cases of malignant melanoma.

United Kingdom

Abstracts

2025

Lichen planus from childhood to adolescence

A 10-year-old boy was referred to the Pediatric Dentistry/Oral Medicine clinic regarding oral LP. He had a 6-month history of intermittently sore patches on his lips and buccal mucosae, sometimes triggered by spicy foods, along with itchy skin patches on his trunk and limbs. His medical history was unremarkable. Extra-oral examination showed hypopigmentation adjacent to the left eye, Wickham’s striae, hyperpigmentation of the lower lip vermilion border, and dystrophic fingernails. Intraorally, there were lichenoid striations and atrophic patches on the buccal mucosae. He was referred to dermatology, who diagnosed cutaneous LP and vitiligo.

Initial management included clobetasol propionate 0.05% ointment for recurrent lip ulcers and benzydamine hydrochloride 0.15% spray for symptomatic oral relief. Skin and nail lesions were managed with mometasone furoate 0.1% and tacrolimus 0.1% ointments. Over several years, his oral lesions flared intermittently, and he developed widespread cutaneous LP and vitiligo, resulting in post-inflammatory hyperpigmentation. His condition is now stable, and he has been advised by dermatology regarding camouflage techniques for his skin.

Conclusion
This case illustrates the progression and long-term management of pediatric LP into adolescence, accompanied by the co-presentation of vitiligo. Also autoimmune in aetiology, vitiligo affects about 2% of children. Its co-localization with LP is rare and reinforces the importance of careful and effective multidisciplinary input, as both conditions can have long-term symptomatic and cosmetic effects.