Evidence map›Paper›PMID 40251548›Full record

ArticleBMC oral health2025

Salivary iron and Candida colonization in oral lichen planus patients undergoing topical steroid therapy.

Auranat Prachayakul, Jeerus Sucharitakul, Jaranya Chadsiri, Chanwit Prapinjumrune

Abstract read
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Auranat PrachayakulDepartment of Oral Medicine, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Jeerus SucharitakulDepartment of Biochemistry and Center of Excellence in Integrative Immuno-Microbial Biochemistry and Bioresponsive Nanomaterials, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Jaranya ChadsiriDepartment of Oral Medicine, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Chanwit PrapinjumruneDepartment of Oral Medicine, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand. chanwit.p@chula.ac.th.

Funding

The Faculty Research Grant, Faculty of Dentistry, Chulalongkorn University 2020 DRF 64015
6 · The paper itself

Abstract

backgroundThe most common adverse event in oral lichen planus (OLP) patients undergoing topical corticosteroid therapy is opportunistic infection with oral Candida. Oral candidiasis superimposed on OLP can worsen the patient's symptoms and obscure the true clinical appearance making the treatment of OLP more complex and difficult. The aim of this study was to investigate the salivary iron level in OLP patients undergoing topical steroid therapy with a history of oral candidiasis compared with OLP patients undergoing topical steroid therapy without a history of oral candidiasis and healthy individuals. MATERIALS AND

methodsThe 68 OLP patients treated with a topical steroid were divided into 34 OLP patients with a history of oral candidiasis, 34 OLP patients without a history of oral candidiasis and 34 healthy individuals were enrolled in the study. Unstimulated whole saliva was collected from the participants to determine the salivary iron level and to investigate the presence of oral Candida colonization.

resultsThe salivary iron level was significantly higher in OLP patients undergoing topical steroid therapy with a history of oral candidiasis compared with OLP patients undergoing topical steroid therapy without a history of oral candidiasis and healthy individuals (P = 0.04 and P < 0.001, respectively). Moreover, the Candida colony count in OLP patients undergoing topical steroid therapy with a history of oral candidiasis was significantly higher compared with OLP patients undergoing topical steroid therapy without a history of oral candidiasis and healthy Individuals (P < 0.001 and P < 0.001, respectively).

conclusionHigh salivary iron level associates with a high amount of oral Candida colonization in OLP patients undergoing topical steroid therapy with a history of oral candidiasis.

trial registrationThis study was registered at the Thai Clinical Trials Registry on 2nd June 2022 (TCTR identifier: TCTR20220602006).

Indexed as

CandidaCandidiasis, OralGlucocorticoidsIronLichen Planus, OralSalivaAdministration, TopicalAdultAgedCase-Control StudiesFemaleHumansMaleMiddle AgedGlucocorticoidsIronCandidaOLPOral candidiasisOral lichen planusSalivary ironTopical corticosteroid

Identifiers

PMID40251548
PMCPMC12008899

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.