A 52-year-old woman has asymptomatic, bilateral, lacy white striae on the buccal mucosa. Which histopathologic finding would best support the clinical diagnosis?
- Correct answer
Band-like subepithelial T-lymphocyte infiltrate with basal cell degeneration
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Intraepithelial acantholysis forming a suprabasal cleft
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Subepithelial separation with an intact basal layer
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Noncaseating granulomas in the lamina propria
This question is one of 15 in AFK practice: Oral medicine, pathology and radiology. Test yourself on all of them.
Practice quiz FlashcardsExplanations
Reticular lichen planus shows a band-like infiltrate of T lymphocytes in the superficial lamina propria with liquefaction degeneration of the basal cells. Suprabasal acantholysis is the hallmark of pemphigus vulgaris.
Source: Neville et al., Oral and Maxillofacial Pathology — oneguy
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