Case #3:

Case profile:

Patient: Young adult, either sex

Case record:

Chief Complaint: Patient requests a routine examination.   Medical History: Patient reports acne. No other abnormalities are identified.   Dental History: The patient has had intermittent dental care. The last dental visit was four years ago.   Clinical Findings: White patches are present diffusely and bilaterally on the hard and soft palate, buccal mucosa, dorsum of the tongue, and some areas of the gingiva. The lesions are nontender, thickened, firm, rough and will not rub off. All the white patches are fixed to the surface mucosa, but they are fixed to underlying structures only on the hard palate and gingiva. The patient reports that the lesions are asymptomatic, have been present as long as the patient can remember, have always been in the same location, and have not changed. Other members of the patient's family have had white patches in their mouths.

Images:

Hard and Soft Palate LG Left Buccal Mucosa LG