The diagnostic challenges of separating chronic ulcerative stomatitis from oral lichen planus

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Hiba QariHarvey Kessler

Abstract

To attempt to establish criteria to differentiate between chronic ulcerative stomatitis (CUS) and oral lichen planus (OLP) with hematoxylin and eosin (H&E) staining alone. Ten confirmed cases of CUS were reviewed from the Stomatology Clinic at the Texas A&M University Baylor College of Dentistry. The original diagnosis on H&E evaluation was OLP, chronic mucositis, or mucositis with lichenoid features, but subsequent direct immunofluorescence (DIF) revealed a positive speckled intranuclear deposition of immunoglobulin G (IgG) in the basal and parabasal layers of the epithelium, confirming a diagnosis of CUS. No consistent histopathologic features were present that would allow recognition of CUS from H&E analysis alone. DIF remains the gold standard for diagnosis.

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Citations

Jul 13, 2016·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Yi-Shing Lisa ChengSusan Muller
Feb 12, 2017·Journal of Oral Pathology & Medicine : Official Publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology·Liviu FellerJohan Lemmer
Aug 31, 2018·Journal of Cutaneous Pathology·Eugene M KoMay P Chan
Nov 21, 2018·Oral Diseases·Lorenzo AzziMalgorzata Olszewska
Oct 31, 2018·Head and Neck Pathology·Rekha ReddyMohammed N Islam
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Dec 17, 2020·The Journal of the American Dental Association·Roopali KulkarniEric T Stoopler

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