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Efficacy of topical tacrolimus for oral lichen planus: a retrospective cohort study stratified by cutaneous involvement - PubMed

5 hours ago
  • #topical tacrolimus
  • #oral lichen planus
  • #cutaneous involvement
  • Study on topical tacrolimus 0.1% gel efficacy for oral lichen planus (OLP), stratified by cutaneous involvement.
  • Retrospective cohort of 120 biopsy-confirmed OLP patients, comparing tacrolimus vs. clobetasol propionate 0.05% gel over 8 weeks.
  • Tacrolimus showed significant reductions in VAS pain and total atrophic area, with superior response rate (OR 3.2).
  • Treatment effects were stronger in patients with cutaneous involvement, who had higher baseline severity.
  • Adverse events were mild and transient, most commonly burning sensation.
  • Topical tacrolimus may be useful as a second-line or steroid-sparing option, especially with concomitant cutaneous involvement.