“Unveiling Oral Psoriasis: Beyond Skin Lesions”

Authors: Swati Gupta

DOI: 10.18231/j.jooo.12154.1856947770

Keywords: Lip psoriasis. Oral psoriasis, geographic tongue, fissured tongue

Abstract: Abstract: Background: Oral psoriasis is a rare and often overlooked condition, affecting 1–3% of the global population. Oral involvement can present unique challenges in diagnosis and treatment. The prevalence of abnormal oral mucosa was higher in patients with psoriasis (74%) compared to (46%) in the general population. Approximately 50% of oral psoriasis cases occur before the second decade of life, highlighting its relevance in younger populations. In India, the prevalence of oral psoriasis is even lower, affecting only about 0.7% of individuals with psoriasis, making its recognition critical in clinical practice. Case Presentation: A 13 year old male patient reported to the outpatient department with complaint of dry and itchy lips since past two years. Dryness, scaling, and bleeding cracks on both lips were observed on clinical examination. On careful examination fissured tongue and geographic tongue were also present. Conclusion: This case report highlights the importance of considering oral psoriasis in the differential diagnosis of chronic lip and oral lesions, particularly in young patients. Careful examination of skin lesions is essential for proper diagnosis and treatment planning