A 17-year-old boy presented with oral lesions that he had had since childhood. Physical examination revealed many confluent, red, smooth, papillomatous papules extending from the tip of the uvula to the soft palate (Figure 1). Additional lesions, which were found in the maxillary anterior gingival area on the right side, were linearly aligned with the palatal lesions (Figure 2). The patient had been previously treated with cryosurgery and curettage, with disappointing results. He was in general good health, and routine blood tests and urinalysis revealed no abnormalities. A curette biopsy was performed on the palatal lesion (Figure 3), and a shave biopsy was performed on the gingival mass (Figure 4).
Nico MMS, Lourenço SV. Confluent Palatal and Gingival Papules in a 17-Year-Old Patient—Quiz Case. Arch Dermatol. 2005;141(4):515-520. doi:10.1001/archderm.141.4.515-a