Clinical Findings

The oral mucosa was diffusely white and rough (Fig 1 & 2).  It involved bilateral buccal mucosa, bilateral vestibules and upper and lower lips.  The lesions were rough to palpation and were corrugated to verrucoid.  They were focally and mildly symptomatic, described by the patient as a mild burning sensation.  The burning sensation corresponded to areas of focal ulceration.

Figure 1.    This clinical photograph was taken at presentation. Note the diffuse white corrugated lesions of the right buccal mucosa.

Figure 2.    This clinical photograph was taken at presentation.  Note the diffuse white corrugated lesions of the left buccal mucosa.