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Image Number 4790 (Lichen planus oral)


Diagnosis: Lichen planus oral

Site: Tongue

Sex: F

Age: 50


Description: Whitish dorsal tongue

Submitted by: Nameer Al-Sudany

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Differential Diagnosis


The dorsal surface of the tongue is smooth, glistening and whitish with few surface fissures. Other parts of the oral cavity are normal. Skin, hair and nails were negative. VDRL and TPHA were non-reactive. Great relief from pain on eating and even on talking on intralesional triamcenolne infiltration (5 mg per ml) given every 3-4 months. Topical CS in orabase was not effective.

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