A 65-year-old patient treated more than 20 years with high doses of D-penicillamine (1.5g/d) due to Wilson's disease presented to the liver clinic with new ulcer-like lesions of the oral mucosa and anterior skin of the neck. Standard biochemical, serologic, metabolic and immunologic tests were negative. A biopsy of the lesion showed numerous giant cells and a lot of crumbled and shattered elastic fibers that in one place breached upward in the direction of the epidermis (Figure 1).
What is the diagnosis? What management plan would you suggest? *This case is by Docplexus Editorial Team for educative purpose only.
