Featured Patient Case #12

Contributor: Dr. Jason Peterson

74-year-old female

Presents with a lesion of the upper left attached gingiva and papilla buccal to teeth #13-14.
The patient has had lesions off and on for approximately 8 months.
Does respond poorly to Decadron elixir.
Generalized erythema with slight leukoplakia mainly posterior to the buccal gingiva.

Differential diagnosis should include: (choose 3 answers)

Lichen planus

Pemphigus

Benign mucous membrane pemphigoid

Pyogenic granuloma

Peripheral giant cell granuloma

Central giant cell granuloma

Next course of action:

Treat with acyclovir

Treat with antifungal

Treat with antibiotics

Incisional Biopsy

No treatment is required

Histology of the lesion is as shown, most likely diagnosis is:

Pemphigus

Lichen planus

Mucous membrane pemphigoid

Pyogenic granuloma

Peripheral giant cell granuloma