# DISCUSSION CASE <p align="center"> <img src="d8425105.png" alt="Clinical image of an oral lesion."/> </p> ## Case description: > 58 year old Female with a 2-year history of oral lichen planus presents with a troublesome gingival > lesion in the 21 region. She wears a removable partail denture. Her medical Hx is significant for > hypertension. She is a non-smoker and reported “social” alcohol use. ## Activity: 1. Identify the pathosis and describe the clinical features 2. What is the differential diagnosis? 3. What are the relevant clinical investigations? 4. What is the diagnosis? 5. How would you manage this patient?  #### Patient Profile and History - **Patient:** 58-year-old female - **Medical History:** Hypertension - **Social History:** Non-smoker; social alcohol consumption - **Dental History:** Wears a removable partial denture - **Chief Complaint:** Troublesome gingival lesion in the 21 region - **Previous Diagnosis:** 2-year history of oral lichen planus #### Clinical Activity and Assessment 1. Identify the pathosis and describe the clinical features. 2. What is the differential diagnosis? 3. What are the relevant clinical investigations? 4. What is the diagnosis? 5. How would you manage this patient? Clinical photograph displaying the lower anterior gingiva of a patient. The image highlights an erythematous, bulbous lesion in the 21 region, consistent with the 'troublesome gingival lesion' described for the 58-year-old female patient. The context indicates a presentation related to oral lichen planus. [^1]: Original PDF page 1: [[9. epithelial Pathosis II.pdf#page=1|9. epithelial Pathosis II, p.1]]