Recurrent Gingival, Oral Mucosal Lesions: A JAMA Clinical Challenge


Philadelphia — A patient presents for evaluation of gingival “peeling” associated with pain and bleeding along with white patches on the oral mucosa – what is the diagnosis? What should the clinician do next?

In a recent issue of the Journal of the American Medical Association, Penn Dental Medicine’s Dr. Eric Stoopler, Associate Professor of Oral Medicine and Dr. Thomas Sollecito, Chair and Professor of Oral Medicine, co-authored a JAMA Clinical Challenge, answering those questions and more with a case study on the diagnosis and treatment of a patient with recurrent gingival and oral mucosal lesions. The case involved a woman with lichen planus and presented a course of action that involved a biopsy of the affected tissue and treatment with topical and systemic medications.

According to Dr. Stoopler and Dr. Sollecito, “Lichen planus is a common mucocutaneous disease with signs and symptoms that often present first in the oral cavity. It is important for health care providers to recognize oral manifestations of lichen planus so patients can be managed appropriately. We are very pleased that JAMA, one of the most highly regarded journals in medicine and science, recognizes the importance of further educating clinicians regarding this condition.”

The JAMA Clinical Challenge is a recurring feature of the Journal with the goal of providing clinical images that reflect visual findings that a clinician might encounter in the office setting. View article »