PMC9560820_01
The clinical features of OLP in a 42-year-old man; (a) hemorrhagic crust, erosive surrounded by radiating white striae (Wickham striae) on the lower lip; (b). Erosive lesion surrounded by Wickham striae on the left dorsum of the tongue; (c) and (d). Erosive and ulcerative lesions on the right and left buccal mucosa; (e)-(h) Lesions on the lips, dorsum of the tongue, and the buccal mucosa completely healed after two months of treatment; (i) and (j) Histopathological features of the lesion with 100x and 400x magnification.
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Based on the clinical features, the suspected diagnosis for this case was the reticular, ulcerative, and erosive type of OLP (Figure 1(a)-1(d)). These histopathological findings are in line with OLP (Figures 1(i)-1(j)). Intraoral examination showed that all lesions were improved after two months (Figures 1(g) and 1(h)).
PMC9560820_02
The clinical features of OLP in a 31-year-old man; (a)-(c). Wickham striae on the lower labial mucosa and on the right and left buccal mucosa; (d)-(f). Oral lesion completely healed after five months of treatment.
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On intraoral examination, we found characteristics of Wickham striae with erosive areas on the lower labial mucosa and on both sides of buccal mucosa (Figures 2(a)-2(c)). The oral lesion was completely healed after five months of treatment (Figures 2(d)-2(f)).
PMC9560820_03
The clinical features of OLP in a 23-year-old woman; (a) and (b) yellowish pseudomembranous on the ventral of the tongue; (c) and (d) white plaques with striae surrounded by erythematous on the right and left buccal mucosa; (e)-(h) Oral lesion showed a significant improvement after two months of treatment.
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Intraoral examination revealed a yellowish pseudomembranous surrounded by a well-defined erythematous with irregular borders on the ventral side of the tongue (Figures 3(a) and 3(b)). White plaques with striae surrounded by erythematous can be seen on the left and right buccal mucosa (Figures 3(c) and 3(d)). After three months of treatment, the oral lesion completely healed (Figures 3(e)-3(h)).
PMC9560820_04
The clinical features of OLP in a 32-year-old woman; (a) multiple white plaques on the dorsum of the tongue; (b) and (c) erosive lesions surrounded by Wickham striae on the right and left buccal mucosa; (e)-(g) oral lesion was completely healed after three months of treatment.
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White plaques with striae surrounded by erythematous could also be seen on the left and right buccal mucosa (Figures 4(a)-4(c)). After three months of therapy, the lesion showed a significant improvement (Figures 4(d)-4(f)).
PMC9560820_05
The clinical features of OLP in a 54-year-old woman; (a) and (b) erythema with radiating white striae on the upper and lower labial mucosa; (c) and (d) Wickham striae on the lower left labial mucosa and on the left buccal mucosa; (e)-(h) lesion on the upper and lower labial mucosa and the right and left buccal mucosa showed a significant improvement; (i) and (j) histopathological features of the lesion with 100x and 400x magnification.
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Intraoral examination revealed white plaques on the right and left buccal regions which formed a bilateral pattern similar to Wickham striae with multiple erosive (Figures 5(a)-5(d)). No signs of malignancy can be found (Figures 5(i) and 5(j)). The lesion on the labial mucosa dan buccal mucosa showed a significant improvement after two months of treatment (Figures 5(e)-5(h)).
PMC9560820_06
The clinical features of OLP in a 57-year-old woman; (a) erosive lesion and Wickham striae on the right lower lip; (b)-(d) bilateral erosive lesion surrounded by Wickham striae on the right and left buccal mucosa; (e)-(h) lesions showed improvement after 2 months of treatment; (i) and (j) microscopic appearance of the lesion with 100x and 400x magnification.
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Intraoral examination revealed bilateral white striae on the right and left buccal mucosa (Figures 6(a)-6(d)). Histopathological examination revealed hyperkeratosis of stratified squamous epithelium, but the nucleus was still within normal limits (Figures 6(i) and 6(j)). Based on the intraoral examination, the Wickham striae on the right and left buccal mucosa had improved, leaving diffuse erythematous on the affected areas (Figures 6(e)-6(h)).