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

Authors : Ayat GAMALABDELNASER

Pages : 85-88

Doi:10.18678/dtfd.1182644

View : 18 | Download : 10

Publication Date : 2023-04-30

Article Type : Other Papers

Abstract :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.
Keywords : Civatte cisimcikleri, Juvenil oral liken planus, Oral likenoid lezyonlar, Üçüncül lenfoid folikül