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Image Number 191 (Lichen planus oral)

 
Morphology:
Ulcer

Diagnosis: Lichen planus oral

Site: Mouth

Sex: M

Age: 40

Type: Clinical

Description: Superficial mouth ulceration

Submitted by: Ian McColl

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Differential Diagnosis

History:

Oral lichen planus gives a characteristic white lacy pattern on the buccal mucosae and the lips.In severe cases there are oral erosions which are painful and may bleed.When you see severe oral lichen planus you should always look for a drug as the cause because if you find it and withdraw it this condition will rapidly clear.If no drug cause can be found the condition will persist for several years before burning itself out.

Oral steroids and retinoids are often required to try to control this condition.



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