Oral Pathology Shot case 10 - 35 Year Male - Whitish lesion in the buccal mucosa

 Answer : Oral lichen planus



Varying degrees of orthokeratosis and parakeratosis may be present on the surface of the epithelium

The thickness of the spinous layer can also vary. 

The rete  ridges may be absent or hyperplastic, but they classically have a pointed or “saw-toothed” shape

Destruction of the basal cell layer of the epithelium  (hydropic degeneration) is also evident. 

This is accompanied  by an intense, bandlike infiltrate of predominantly T lymphocytes immediately subjacent to the epithelium

Degenerating keratinocytes may be seen in the area of the epithelium and connective tissue interface and have been termed colloid, cytoid, hyaline, or Civatte bodies.


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