The Grinspan Syndrome: "Fact" or "Fiction" – A Meta Analysis Research
Keywords:
Grinspan Syndrome, Oral Lichen Planus, Diabetes Mellitus, Hypertension, Meta AnalysisAbstract
Grinspan Syndrome since its inception has been an arena of interest that has appeared very lucrative to numerous researchers due to its lack of clarity and enhanced ambiguity. This syndrome, which is a triad of Oral Lichen Planus (OLP), Diabetes Mellitus (DM) and Hypertension (HTN) as reported in the early 1963 by Grinspan has not found much appreciation in the literature thereafter.1 There are few studies however which are affirmative towards the association but simultaneously there are more studies which deny it. In our present study therefore, which was based on the case control trials, we aimed at systematically reviewing various literatures available so far using network Meta Analysis in order to establish the exact association between the three entities. Meta Analysis was performed and odds ratios and 95% confidence intervals (CI) calculated. From a total of 45 identified records, 24 case control studies were included in the study. Meta Analysis projected the association between OLP and DM to be 0.1 (no association), between OLP and HTN to be 0.5 (no association) and between OLP, DM and HTN to be 0.5 (no association). Although the results of the intended study do not go in favour of the association between the three entities, further researches need to be carried out in order to make the scenario clearer because the association among the three entities raises a ambiguity or a doubt.Downloads
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References
Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projection for 2030. Diabetes Care. 2004;27:1047–1053.
Bajaj DR, Ahmed N, Devrajani BR, et al. Oral lichen planus: a clinical study. J Coll Phys Surg Pak. 2010;20:154–157.
Rasool S, Katpur S, Ali A, Bashir F. Oral lichen planus. J Coll Phys Surg Pak. 2007;17:764–765.
Arshiya Ara S, Mamatha GP, Balaji Rao B. Incidence of diabetes mellitus in patients with lichen planus. Int J Dent Clin. 2011;3:29–33.
Bombeccari GP, Guzzi G, Tettamanti M, et al. Oral lichen planus and malignant transformation: a longitudinal cohort study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112:328–334.
Sugerman PB, Savage NW, Walsh LJ, et al. The pathogenesis of oral lichen planus. Crit Rev Oral Biol Med. 2002;13:350–365.
Köse O, Lalli A, Kutulola AO, Odell EW, Waseem AJ. Changes in the expression of stem cell markers in oral lichen planus and hyperkeratotic lesions. Oral Sci. 2007;49:133–139.
Seyhan M, Ozcan H, Sahin I, Bayram N, Karincaoğlu Y. High prevalence of glucose metabolism disturbance in patients with lichen planus. Diabetes Res Clin Pract. 2007;77:198–202.
Nigam PK, Sharma L, Agrawal JK, Singh G, Khurana SK. Glucose tolerance studies in lichen planus. Dermatologica. 1987;175:284–289.
Halvey S, Feuerman EJ. Abnormal glucose tolerance associated with lichen planus. Acta Derm Venereol. 1979;59:167–170.
Xue JL, Fan MW, Wang SZ, Chen XM, Li Y, Wang L. Diabetes and hepatitis frequency in 140 lichen planus cases in Cukurova region. J Dermatol. 2004;31:293–298.
Romero MA, Seoane J, Varela-Centelles P, Diz-Dios P, GarciaPola MJ. Prevalence of diabetes mellitus amongst oral lichen planus patients. Clinical and pathological characteristics. Med Oral. 2002;7:121.
Ahmed I, Sarwat N, Jehangir U, Wahid Z. Frequency of oral lichen planus in patients with noninsulin dependent diabetes mellitus. J Pak Assoc Dermatol. 2012;22:30–34.
Lu R, Zhang J, Sun W, Du G, Zhou G. Inflammation-related cytokines in oral lichen planus: an overview. J Oral Pathol Med. 2015;44:1–14.
Rad M, Hashemipoor MA, Mojtahedi A, et al. Correlation between clinical and histopathological diagnostic criteria. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107:796–800.
Chalkoo AH. Oral lichen planus with transaminase levels and diabetes. J Indian Acad Oral Med Radiol. 2010;22:1–3.
Atefi N, Majedi M, Peyghambari S, Ghourchian S. Prevalence of diabetes mellitus and impaired fasting blood glucose in patient with lichen planus. Med J Islam Repub Iran. 2012;26:22–26.
Wilson E. Lichen planus. Cuton Med Dis Skin. 1869;3:117.
Grinspan D, Diaz J, Villapol LO, et al. Lichen rubber planus of buccal mucosa, its association with diabetes. Bull Soc Fr Dermatol Syphiligr. 1966;73:898–899.
Ara SA, Mamatha GP, Rao BB. Incidence of diabetes mellitus in patients with lichen planus. Int J Dent Clin. 2011;3:29–33.
Narayan V, Gananasundarm N, Arvind M. Prevalence of oral lichen planus with diabetes mellitus. J Indian Acad Oral Med Radiol. 2013;25:261–264.
Ansar A, Farshchian M, Ghasemzadeh SM. Comparison of the frequency of diabetes mellitus in the patients with lichen planus and normal controls: a case–control study. Dermatol Cosmet. 2011;2:78–84.
Borhan Mojabi K, Esfahani M, Bokharaei MM. Evaluation of median rhomboid glossitis and lichen planus in patients with diabetes mellitus. J Qazvin Univ Med Sci. 2009;13:56–60.
Saini R, Al-Maweri SA, Saini D, Ismail NM, Ismail AR. Oral mucosal lesions in nonoral habit diabetic patients and association of diabetes mellitus with oral precancerous lesions. Diabetes Res Clin Pract. 2010;89:320–326.
Ship JA, Chavez EM. Special senses: disorders of taste and smell. In: Silverman Jr S, Eversole LR, Truelove EL, eds. Essentials of Oral Medicine. Hamilton, London: BC Decker Inc.; 2001:279–280.
Negrato CA, Tarzia O. Buccal alterations in diabetes mellitus. Diabetes Metab Syndr. 2010;2:3.
Lalla RV, D'Ambrossio JA. Dental management considerations for the patient with diabetes mellitus. J Am Dent Assoc. 2001;132:1425–1432.
Ship JA. Diabetes and oral health: an overview. J Am Dent Assoc. 2003;134:4–10.
McIntyre G. Oral candidosis. Dent Update. 2001;28:132–139.
Samaranayake LP. Host factors and oral candidiasis. In: Samaranayake LP, MacFarlane TW, eds. Oral Candidosis 2nd ed. London: Butterworth & Co. Ltd.; 1990:145–147.
Akpan A, Morgan R. Oral candidiasis. Postgrad Med J. 2002;78:455–459.
Tsuji S, Kawai N, Tsujii M, Kawano S, Hori M. Review article: inflammation-related promotion of gastrointestinal carcinogenesis ” a perigenetic pathway. Ailment Pharmacol Ther. 2003;18(suppl 1):82–89.
Seril DN, Liao J, Yang GY, Yang CS. Oxidative stress and ulcerative colitis-associated carcinogenesis: studies in humans and animal models. Carcinogenesis. 2003;24:353–362.
Dandona P, Thusu K, Cook S, et al. Oxidative damage to DNA in diabetes mellitus. Lancet. 1996;347:444–445.
Calle EE, Kaaks R. Overweight, obesity and cancer: epidemiological evidence and proposed mechanisms. Nat Rev Cancer. 2004;4:579–591.
Chang MC, Chiang CP, Lin CL, Lee JJ, Hahn LJ, Jeng JH. Cellmediated immunity and head and neck cancer: with special emphasis on betel quid chewing habit. Oral Oncol. 2005;41:757–775.
Seppala B, Sorsa T, Ainamo J. Morphometric analysis of cellular and vascular changes in gingival connective tissue in long-term insulin-dependent diabetes. J Periodontol. 1997;68:1237–1245.
Franceschi S, Levi F, Conti E, et al. Energy intake and dietary pattern in cancer of the oral cavity and pharynx. Cancer Causes Control. 1999;10:439–444.