PMC9106254_01
(a) Hypopigmented areas of the lip, (b and c) Bilateral whitish striae, (d) Lesions on the dorsum of the tongue
JOMFP-26-98-g001.jpg
PMC9106254_01_JOMFP-26-98-g001.jpg
F1
Extraoral examination revealed perioral hypopigmentation of the skin [Figure 1a], but no lesions were observed on the extremities, genitalia, or nails and were clinically concluded to be vitiligo. Intraoral examination revealed whitish nonhomogenous striae that were located bilaterally and localized on the mucosa of the cheek [Figure 1b and c]. Similar whitish irregular lesions were observed on the dorsum of the tongue [Figure 1d].
Photomicrograph showing para to nonkeratinized epithelium, focal areas of acanthosis, saw tooth rete pegs and dense band of chronic cell infiltration in the lamina propria (H&E, x100)
JOMFP-26-98-g002.jpg
PMC9106254_01_JOMFP-26-98-g002.jpg
F2
OLP [Figure 2]. On the basis of the clinical and histological findings, the diagnoses of vitiligo and OLP were established and he was started on photochemotherapy for vitiligo and systemic antioxidant therapy, emollients and intrabuccal steroids for OLP.