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Giant cell lichenoid stomatitis - an oral medicine case book
Robinson, Liam; Kotze, Leande; Van Heerden, Willem Francois Petrus
A 53-year-old female patient presented with a two-week
history of intermittently painful oral mucosal lesions when
eating spicy, salty or sour foods. The patient reported
a long-term history of psoriasis treated by topical corticosteroids
only. The remainder of the patient’s medical
history was unremarkable. On intraoral examination,
lesions were noted bilaterally in the posterior buccal commissures,
appearing as centrally erosive lesions bound by
white striations (Figure 1). Additionally, there were areas
of desquamative gingivitis in the anterior maxillary gingiva.
The clinical suspicion was that of oral lichen planus or
oral lichenoid lesions. An incision biopsy from the left
buccal mucosa was performed and submitted for histological
assessment.