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Lichen nitidus on the hard palate of the oval cavity in an adult successfully treated with topical steroid therapy

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) Multiple, well-defined and light-red papules of 1 mm in diam gregation of numerous lymphocytes and histiocytes in the lamina r = 100 m). D) Focal basal vacuolar changes and… Click to show full abstract

) Multiple, well-defined and light-red papules of 1 mm in diam gregation of numerous lymphocytes and histiocytes in the lamina r = 100 m). D) Focal basal vacuolar changes and lymphocytic e e aggregation of inflammatory cells (H&E staining; bar = 25 m). ung people [1]. Some cases of involvement such al surface of the tongue, hard and soft palates, ith or without generalized lichen nitidus have ted [2-7]. Here, we report a case of lichen nitidus palate of the oval cavity in an adult who was y treated with topical steroid. -old woman was referred to our clinic with apules on the mucous membrane of the hard cal dentist had pointed them out and suspected phigoid four months before referral to our clial examination revealed asymptomatic, multiple, d and light-red papules of 1 mm in diamehard palate (figure 1A, B). She had no similar the other sites. Mucosal biopsy was performed pules on the hard palate. Histopathological exavealed aggregations of numerous lymphocytes ytes in the lamina propria mucosae (figure 1C). ng epithelium was atrophic and flattened. Basal hange and lymphocytic exocytosis were also figure 1D). Direct immunofluorescence images deposition of IgG or C3. Based on these findings, of lichen nitidus was made. We suspected that denture was one of the factors contributing to ration of the disease, because the size of the dent fit into the hard palate. Although the denture d, the lesion only slightly improved. Therefore, d topical dexamethasone ointment (Dexaltin® nt) treatment. Most of the lesions improved after s of topical treatment and considerably disap-

Keywords: hard palate; oval cavity; cavity adult; lichen nitidus; palate oval

Journal Title: European Journal of Dermatology
Year Published: 2022

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