A 51-year old female presented to the dental clinic with a painful lesion on her gums on the lower left side. Medical history The woman has a 15-year history of widespread lichen planus involving several oral sites, including the bilateral buccal mucosa, vestibules, and upper and lower lips. The patient’s medical history is also significant for high cholesterol, fibromyalgia, two C-section surgeries in 1990 and 1992, and a hysterectomy in 2002. She also has a history of hypersensitivity to sulfa drugs Physical examination At presentation, the lesion was diffuse, corrugated to verrucoid, and rough in consistency.
There were areas of focal ulceration associated with a mild burning sensation and pain. The left buccal mucosa was diffusely red and white, with surface ulceration and papillary configuration. Investigations CT imaging measured this lesion at 2.5 X 1.6 X 1.6 cm in greatest…
