lichen planus anyone?

[Shack2023]

I just returned from dentist. Hygienist noticed I have some gum irritation which she believes is lichen planus. Very slight white and red patches in a few areas. She believes it is a result of an autoimmune disease. She mentioned some people see oral specialist and are sometimes prescribed anti fungal mouth rinses. I am also early stage PD (diagnosed 12/23) and take low dose of levocarbidopa and Rasagiline. I was wondering if this could be PD related? Does anyone else here have this as well as PD? Thank you in advance. I don’t post much but have found this community very helpful. 🙏

[park_bear]

Lichen planus has a similar appearance to pemphigoid which was what my dentist thought it was, but he was not certain. If I recall correctly JohnPepper actually was diagnosed with pemphigoid. Yes, this is associated with Parkinson’s disease: ncbi.nlm.nih.gov/pmc/articl... "Parkinson’s disease was higher in the pemphigoid group (p < 0.050)"

frontiersin.org/journals/im... "Regarding the AID [Autoimmune disease] types, the results showed an increased risk of PD combined with bullous pemphigoid (OR=2.67 [OR= odds ratio]..."

Have your dentist or hygienist keep a careful eye on it - I suffered gum non-adherence in the area which led to the loss of a tooth

[Shack2023 in reply to park_bear]

Thank you for the very informative response. I will definitely have the dentist watch this closely.

[chartist]

Here are images of oral lichen planus (OLP) :

google.com/search?sca_esv=3...

If it actually is OLP, then zinc may be of help as discussed here :

ncbi.nlm.nih.gov/pmc/articl...

Here is a relevant quote from the link :

' The present case series describes the use of oral zinc acetate (50 mg) in patients having symptomatic oral lichen planus with favorable outcome in terms of size of lesion and global index score. '

And here :

ncbi.nlm.nih.gov/pmc/articl...

It is worth mentioning that oral magnesium level tends to run high in people with OLP, suggesting caution with magnesium supplements in case it is a causative factor instead of just a compensating factor. It may be tempting to consider dissolvable zinc lozenges over oral capsules, but these have been noted to cause loss of taste and smell and is worth keeping that thought in mind.

It is worth noting that deficiency of B12 levels are seen in people with OLP as well as people with PD and has further negative ramifications in both diseases, so you should ask your doctor to check your B12 level before your next visit and treat any deficiency appropriately.

Lastly, vitamin D deficiency is common in OLP as well as PD and it may make sense to also have your doctor check your 25 OH d level when checking your B12 level and again, supplement appropriately if needed.

Art

[Shack2023 in reply to chartist]

Thank you so much for the additional information and potential treatment with zinc acetate. The photos shown in your reference look similar but much more dramatic and inflamed from what I have at this point in time thankfully. Thank you for the heads up on B12 and D I was checked recently and it came back normal, but not sure if test was 25 OH d will need to check on that. I very occasionally supplement with magnesium citrate so that should not be an issue.

[Biblelover]

I had something similar where my mouth was dry but had irritating patches. Finally one day I decided to do manual lymph drainage on my neck face and head. It had significantly improved after one self tx. If you're interested I be happy to send you the link. The video only includes external but I also added inside my mouth. BTW my tremors were lesss when I did it.

[M-o-ggy in reply to Biblelover]

I woukd appreciate the link you mentioned

[Biblelover in reply to M-o-ggy]

youtu.be/evs6VVWyiLw(Not working as expected?)

[Shack2023 in reply to Biblelover]

Thank you that’s very interesting. If you could please send the link i would really appreciate it.

[Biblelover in reply to Shack2023]

youtu.be/evs6VVWyiLw(Not working as expected?)

[Biblelover in reply to Shack2023]

youtu.be/evs6VVWyiLw(Not working as expected?)

[Biblelover in reply to Shack2023]

youtu.be/evs6VVWyiLw(Not working as expected?)

[Biblelover]

Google functionabilitypt.com/services/manuallymphdrainage