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Confluent Palatal and Gingival Papules in a 17-Year-Old PatientQuiz Case
Marcello Menta Simonsen Nico, MD;
Silvia Vanessa Lourenço, DDS, PhD
Institute of Tropical Medicine of São Paulo, University of São Paulo, São Paulo, Brazil
Arch Dermatol. 2005;141:515-520.
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REPORT OF A CASE
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).
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Confluent Palatal and Gingival Papules in a 17-Year-Old PatientDiagnosis
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