Pathology · single question
White lacy lesion on buccal mucosa u2014 most likely diagnosis:
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Correct answer: B. Reticular lichen planus
The white lacy pattern (Wickham's striae) on buccal mucosa is pathognomonic for reticular lichen planus u2014 an autoimmune T-cell-mediated condition. The erosive form presents as painful erythematous patches, often on attached gingiva. Reticular form is usually asymptomatic.