Oral Lichen Planus in Childhood with Unique Histological Finding: A Case Report

Autor: Ayat Gamal-abdelnaser
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Düzce Tıp Fakültesi Dergisi, Vol 25, Iss 1, Pp 85-88 (2023)
Druh dokumentu: article
ISSN: 1307-671X
DOI: 10.18678/dtfd.1182644
Popis: Oral lichen planus is a chronic inflammatory disease that targets adults. Over the years, few reports documented solitary cases of children being affected by oral lichen planus. In this report, a case of an 8-year-old, medically uncompromised boy who complained of a severe burning sensation in the tongue with a history of one year of remission and exacerbation was presented. When examined, the tongue showed a large irregular superficial non-indurated ulcer occupying the whole anterior 2/3 of the tongue sparing the tip and was surrounded by white radiating lines. The ulcerative lesion showed a peculiar butterfly pattern. Histopathological examination of the incisional biopsy showed intraepithelial civatte bodies and dense subepithelial lymphocytic infiltrate arranged in a pseudo-lymphomatous shape. Although the clinical and histological pictures suggest lichen planus, the atypical arrangement of lymphocytes brought up a question mark. This report demonstrates a peculiar clinical picture of a rare disease combined with a unique histopathologic finding.
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