Article
Severe Oral Lichen Planus Masking a Primary Immunodeficiency: X-Linked Lymphoproliferative Disease Type 1 (XLP-1).
Pediatric dermatology - 1 Jan 2026
Brufau-Cochs Magí, Martínez Ángela Deya, Vukov Mariana Álvarez, Martí-Sánchez Laura, Guasch Claudia Fortuny, Torres Eulàlia Baselga
Abstract excerpt
A 14-year-old boy was initially diagnosed with erosive oral lichen planus based on clinical and histopathological findings. However, the atypical clinical course and resistance to immunosuppressive therapy raised suspicion for an autoinflammatory disorder or inborn error of immunity. Genetic testing revealed a pathogenic SH2D1A mutation, confirming X-linked lymphoproliferative disease type 1 (XLP-1) in the...
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