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April 1975


Arch Dermatol. 1975;111(4):535. doi:10.1001/archderm.1975.01630160125028

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Lichen Planus of Mouth and Vulva With Chronic Candidiasis. Presented by Clarence S. Livingood, MD, James D. Stroud, MD.  A 72-year-old woman had persistent oral ulceration for four years. Examination revealed a beefy-red tongue with reticulated, white patchy areas of the buccal mucosa and oral erosions. The vulvovaginal area was erythematous and edematous and showed, in addition, a white reticulated pattern. The fingernails were yellow and dystrophic. There were also plaques of erythema and scaling over several interdigital spaces of both hands.Multiple biopsy specimens of oral and vaginal mucosa revealed changes of lichen planus. Fungal scrapings and cultures from oral and vaginal mucosa and the dystrophic nails were diagnostic of Candida albicans.

DISCUSSION  Dr. Edward Krull: Oral lesions alone probably occur in less than one third of the festationwith lichen planus. The oral manifestation may be variable, showing reticular, papular, plaque-like, atrophic, ulcerative, and bullous lesions. The two most

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