A lady presents with history burning sensation on eating spicy food. On examination bilateral white lacy streaks are present in buccal mucosa. There is no history tobacco abuse but amalgamated third molar is present. What is the diagnosis?
B. Lichen planus
D. Aphthous stomatitis
Ans: B. Lichen planus
(Ref Fitzpatrick 7/e p244-255; Rooks 8/e p41.1-41.20; Roxburgh 18/e p154-158)
- History of burning sensation on eating spicy food and on examination bilateral white lag, streaks (Wickham’s striae) in buccal mucosa and amalgamated third molar is highly suggestive of Lichen planus.
- Self-limiting papulosquamous inflammatory disorder of skin of unknown origin.
- Pruritic, polygonal, purple, plain topped papule & plaques which often has whitish lacy pattern on its surface (Wickham’s striae).