HomeAnswersPathologylichen planusWhat would be the differential diagnosis based on the biopsy report of the cheek?

What would be the differential diagnosis based on the biopsy report of the cheek?

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Answered by

Dr. Singh Smrita

Medically reviewed by

Dr. Lekshmipriya. B

Published At November 21, 2017
Reviewed AtJuly 28, 2023

Patient's Query

Hello doctor,

If the biopsy report of the cheek (buccal mucosa, left) showed chronically inflamed stratified squamous epithelium and underlying fibrous connective tissue, which contains a number of irregularly shaped vascular spaces approximately the size of normal capillaries that contain numerous erythrocytes; what would be the differential diagnosis?

Answered by Dr. Singh Smrita

Hello,

Welcome to icliniq.com.

The current biopsy results indicate a lichenoid type of lesion in the buccal mucosa. This type of picture can be seen due to various causes ranging from allergens to systemic drugs, anything causing irritation (like dentures), etc. Though the presence of rash, uveitis, and recurrent mouth ulcers would be suspicious of Behcet's disease, the biopsy results are not what would be typically seen in Behcet's disease. I would advise you to consult a dermatologist for diagnosis and treatment. Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Singh Smrita
Dr. Singh Smrita

Hematology

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