A 40-year-old female presents with a burning sensation in her oral cavity. Examination shows lesions featuring radiating white reticular striae affecting the buccal mucosa, tongue, lips, and gingiva bilaterally. Incisional biopsy confirms lichen planus. All of the following represent clinical variants of lichen planus except:
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Answer: D. Verrucous lichen planus
Explanation
Verrucous lichen planus is not recognized as a classic clinical variant of oral lichen planus. Standard clinical variants of oral lichen planus include reticular, plaque-like, atrophic, erosive, and bullous forms. Incisional biopsy confirms the diagnosis by showing characteristic band-like lymphocytic infiltration beneath the epithelium. Oral lichen planus is a chronic inflammatory condition affecting mucous membranes with autoimmune mediated mechanisms. Reticular lichen planus is the most common asymptomatic clinical presentation featuring white lace-like striae. Symptomatic variants like erosive and atrophic forms often require topical corticosteroid therapy for pain relief.
Accurate clinical classification helps dentists monitor lesions and determine appropriate follow-up intervals for patients. Patients with oral lichen planus require regular clinical evaluations due to a small risk of malignant transformation. Differentiating lichen planus from other white mucosal lesions ensures proper management and patient reassurance. Atrophic lichen planus is a well-established clinical variant presenting as erythematous and thinning mucosal patches. Hypertrophic lichen planus presents as thick plaque-like lesions typically observed on the skin or gingiva. Bullous lichen planus is a recognized clinical variant characterized by fluid-filled blisters that rupture easily.
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Answer: B. Hemangioma
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Answer: D. Dentinogenesis imperfecta
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Answer: D. Torus palatinus
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Answer: C. Fusion
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Answer: B. Diphtheritic lesion
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Answer: A. Dens in dente
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