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Photoletter to the editor: Dermoscopy of atypical lichen sclerosus involving the tongue.
MedLine Citation:
PMID:  22826722     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Involvement of tongue during the course of lichen sclerosus is extremely rare, with only five - to our knowledge - described cases in the English literature. We present clinical and dermoscopic findings of a female patient who concomitantly developed genital, skin and oral lesions of lichen sclerosus. Tongue involvement consisted of a linear atrophic whitish plaque, strikingly mimicking "en coupe de sabre" scleroderma. Dermoscopic examination revealed a well demarcated, linear, dense, white, homogenous area, with papillae projections hardly seen in the affected area. Dermoscopy of lesions located on the trunk revealed whitish plaques with comedo-like openings in the center and an erythematous halo at the periphery. Since clinical differentiation of oral LS and other oral diseases appearing as white atrophic plaques is almost impossible without using histology, we believe that dermoscopy might represent an additional tool, contributing to the final diagnosis, and thus avoiding an ablative procedure at this site-sensitive localization.
Authors:
Zoe Apalla; Aimilios Lallas
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of dermatological case reports     Volume:  6     ISSN:  1898-7249     ISO Abbreviation:  J Dermatol Case Rep     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-07-24     Completed Date:  2012-10-02     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101493700     Medline TA:  J Dermatol Case Rep     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  57-8     Citation Subset:  -    
Affiliation:
State Clinic of Dermatology, Hospital of Skin and Venereal Diseases, Thessaloniki, Greece.
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