PMC2909719_01
The time line of drug administration, occurrence of the oral lesions, withdrawal of the AZT, and remission of the lesions.
IJD2010-291072.001.jpg
PMC2909719_01_IJD2010-291072.001.jpg
fig1
The OLDR diagnosis of lesions at the lip and buccal mucosa was based on the history of medications and the incidence of initial eruptions of the lesions as shown in Figure 1.
The oral lesions at the first visit: (a) right buccal mucosa, score 5, (b) left buccal mucosa, score 5, and (c) lip, score 4. Note the white striae and papules with deep ulceration on the erythematous base.
IJD2010-291072.002.jpg
PMC2909719_01_IJD2010-291072.002.jpg
fig2
The lesions had slightly raised keratotic white reticular striae and white papules on an extensive background of erythematous mucosa with deep ulcerations (Figures 2(a), 2(b), and 2(c)).
Oral lesions improved at 21 months: (a) right buccal mucosa, score 1, (b) left buccal mucosa, score 0, and (c) the lip, score 0.
IJD2010-291072.003.jpg
PMC2909719_01_IJD2010-291072.003.jpg
fig3
Two months after the withdrawal of AZT and with the local topical steroid treatment, only very mild white papules at right buccal mucosa remained, and the clinical pain score at this site was 1, while other sites were in complete remission (Figure 3).