A histopathologic study of oral mucosal lupus erythematosus

Specimens representing 17 cases of each of oral mucosal lupus erythematosus (LE) and lichen planus were examined under the light microscope to establish a set of histopathologic criteria that would distinguish between the two. Statistical analysis showed that significant differences in histopatholog...

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Veröffentlicht in:Oral surgery, oral medicine, oral pathology oral medicine, oral pathology, 1989-05, Vol.67 (5), p.547-554
Hauptverfasser: Karjalainen, Tuomo K., Tomich, Charles E.
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Tomich, Charles E.
description Specimens representing 17 cases of each of oral mucosal lupus erythematosus (LE) and lichen planus were examined under the light microscope to establish a set of histopathologic criteria that would distinguish between the two. Statistical analysis showed that significant differences in histopathology exist between the two diseases. A classic case of LE was found to exhibit the following characteristics: vacuolization of keratinocytes, patchy PAS-positive deposits subepithelially, edema in the lamina propria, PAS-positive thickening of blood vessel walls, and the presence of a severe or perivascular inflammatory cell infiltrate. A number of other less significant alterations were also identified. It is concluded from this study that oral LE in most cases is characteristic enough to provide a definitive diagnosis at the light microscopic level.
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subjects Adult
Aged
Atrophy
Blood Vessels - pathology
Connective Tissue - pathology
Dentistry
Diagnosis, Differential
Edema - pathology
Epithelium - pathology
Female
Humans
Hyperplasia
Lichen Planus - pathology
Lupus Erythematosus, Discoid - pathology
Lupus Erythematosus, Systemic - pathology
Male
Middle Aged
Mouth Diseases - pathology
Mouth Mucosa - blood supply
Mouth Mucosa - pathology
title A histopathologic study of oral mucosal lupus erythematosus
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