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 ´ëÇÇ¿¬Áö 1999;6;4 239-244

 

Lichen planus is a mucocutaneous disease of unknown etiology and pathogenesis. It has been suggested that abnormal immune response is the basic underlying mechanism in lichen planus. The aim of the present study was to verify the immunopathogenesis of lichen planus by immunohistochemical study. In this study, 10 cases of lichen planus were examined immunohistochemically with monoclonal antibodies against T cell subsets(CD4, CD8), HLA-DR antigen and Langerhans cell. The results were as follows: (1) Both subtypes of T lymphocytes were found in the dermis. Helper T cells were predominate in seven cases but suppressor T cells were shown predominantly in the other 3 cases. (2) The number of Langerhans cells in epidermis increased in accordance with increased keratinocyte HLA-DR expression. In conclusion, these findings support the hypothesis that lichen planus is a process mediated by immune mechanism.