Evidence map›Paper›PMID 41321437›Full record

ArticleCase reports in dentistry2025

Sequential Use of Apremilast, Total Glucosides of Paeony, and Periodontal Therapy in Refractory Plurimucosal Lichen Planus: A Case Report.

Tinglan Yang, Zhenlai Zhu, Jiankang Yang, Mengmeng Song, Minghui Wei, Honglin Liu, Wen Qin, Shuai Shao, Chen Yu, Meng Fu and 1 more

Abstract readCase Reports
In one paragraph

Article in Case reports in dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Tinglan YangState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Xi'an, Shaanxi Province, China.ORCID https://orcid.org/0009-0001-4782-6155
Zhenlai ZhuState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Xi'an, Shaanxi Province, China.ORCID https://orcid.org/0000-0001-8518-8222
Jiankang YangXijing 986 Hospital, Xi'an, The Fourth Military Medical University, Xi'an, Shaanxi Province, China.
Mengmeng SongState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Xi'an, Shaanxi Province, China.
Minghui WeiState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Xi'an, Shaanxi Province, China.
Honglin LiuState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Xi'an, Shaanxi Province, China.
Wen QinState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Xi'an, Shaanxi Province, China.
Shuai ShaoDepartment of Dermatology, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Chen YuDepartment of Dermatology, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.ORCID https://orcid.org/0000-0001-7387-1198
Meng FuDepartment of Dermatology, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Qing LiuState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Xi'an, Shaanxi Province, China.ORCID https://orcid.org/0009-0000-9123-0538

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lichen planus (LP) is a chronic inflammatory disorder affecting mucosa and skin. This report presents a 61-year-old female with refractory LP involving buccal, gingival, and vulvovaginal mucosa, unresponsive to prior therapies including corticosteroids and hydroxychloroquine. The patient was treated with apremilast, a phosphodiesterase-4 inhibitor, combined with total glucosides of paeony. Within 4 weeks with apremilast and total glucosides of paeony, the patient experienced significant clinical improvement, with reduced Investigator Global Assessment and reticulation-erythema-ulceration scores. Periodontal scaling and root planing were performed at 8 weeks, further enhancing oral health. At 14 and 20 months after treatment initiation, the patient's condition remained stable, with no significant adverse effects. This case suggests that sequential therapy with apremilast and total glucosides of paeony may be a promising option for managing refractory LP involving multiple mucosal sites. Strategically timed periodontal intervention, initiated after systemic control, improved tolerability and underscored the value of a sequential, multidisciplinary approach.

Indexed as

apremilastlichen planusmucosal diseasePDE-4 inhibitortotal glucosides of paeony

Identifiers

PMID41321437
PMCPMC12659978

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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.