Confluent Lichen Nitidus with Lesions on the Tongue

Abstract

, regarding a generalized eruption, which appeared first on the wrists and gradually spread. White streaks on her tongue had appeared at about the same time.

Oral lichen nitidus case report

“…LN and OLP have been reported to occur concurrently, 6 and in two of the above cases, OLP was also suggested in the differential diagnosis. 3,4 The present case presented clinically with intra-oral red erythematous papules and histologically the epithelium over the central surface of the nodules was mildly atrophic with slightly less keratinization compared with the adjacent mucosa. In contrast, the previous case report of biopsy-proven oral LN presented clinically with white papules.…”

“…Oral lichen nitidus is uncommon: a literature search yielded only five reported cases in the last 91 years that suggested LN in the differential diagnosis. [1][2][3][4][5] Only one of these supported this diagnosis with a biopsy of the oral lesions. 2 The other four cases reported skin biopsy-proven LN in patients who also had mucosal lesions suspicious of LN (e.g.…”

“…Oral lichen nitidus is uncommon: a literature search yielded only five reported cases in the last 91 years that suggested LN in the differential diagnosis 1‐5 . Only one of these supported this diagnosis with a biopsy of the oral lesions 2 .…”

“…Four other papers have documented cases of oral lesions presenting in patients with biopsy-proven cutaneous LN. 1,[3][4][5] Like oral lichen planus (OLP), LN is a condition driven by a lichenoid inflammatory process. Cutaneous LN typically presents in childhood or adolescence with asymptomatic eruptions of small skincolored/yellow papules, particularly on the flexor aspects of the limbs, abdomen, and genitals.…”

“…Oral involvement is rare with only one oral biopsy‐proven case of oral LN in the literature, 2 which presented as white papules on the dorsal tongue. Four other papers have documented cases of oral lesions presenting in patients with biopsy‐proven cutaneous LN 1,3‐5 . Like oral lichen planus (OLP), LN is a condition driven by a lichenoid inflammatory process.…”