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The Old Endoscopy Quiz (and Answer) of the Month October 2007

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Question:
Click on the image above to start the slide show!
This middle aged lady came to an upper endoscopy because of a chronic sideropenic anaemia. The examination was normal, except for this finding in the oral cavity. A gastroscope is surely not the best instrument of examination of the oral cavity - there are other much easier methods for that. However, sometimes there can be some findings of clinical interest also in this area during an endoscopy. What is this finding on the lining of the inside of the cheeks?
Correct answer:
Oral Lichen Ruber Planus also called Lichen Planus

Click on an image to get a magnification!
Lichen planus is a skin and mucosal disease the cause of which is unknown. It particularly affects the lower legs but the lesions can be seen on the trunk, glans penis and vaginal mucosa.
The oral mucosa is involved in about 50% of the patients with lichen planus (also called lichen ruber planus). The oral mucosa - seen in these pictures - shows whitish linear lesions, sometimes with erosions.
In the first and third picture a possible cause of this disease is seen, that is dental amalgam restorations, and replacement of these can be an important option in the treatment of oral Lichen planus.
Correct answers and comments were emailed by
Dr.Virendra Parikh, Fort Wayne, USA, Indiana
Cevale, Karslioglu Sgouros, Istanbul / Turkey
MEHMET POLAT, ANKARA, TURKEY
ARULPRAKASH, CHENNAI, INDIA
BURHAN TAM, Esenyurt-ÝSTANBUL, TÜRKÝYE

A Chinese arch/gate in Taiwan ©
jack chen, Miao-Li, Taiwan
Dr.MAHDI ALJAROUDI, KHOBAR, KSA/ EASTERN PROVINCE
Robin Brown-Bredt, Cheektowaga, USA/New York
RASSIAT, DIJON, FRANCE
A, KUMAR, BRENTWOOD, UNITED KINGDOM
Cheryl Lynch, Erie, PA/USA
Dr.Arber Veliu, Prishtina, Kosovo
Albert J. Chang, M.D., Redlands CA, USA
Dr Dong Ngoc Khanh, Ho chi Minh City, VietNam
M A Cheema, Sialkot, Pakistan
KLAUDIA J.Niepsuj, Gliwice/Poland, Poland
amrani khalil, constantine, algeria
Dr.Raad alsulaiman, Khobar, KSA
MASOOD QURESHI, Sutton coldfield, UK
Ã?etin Karaca, Istanbul, Tyrkiye
Vanderlei Lima, São Sebastião do Paraiso MG, Brasil
Dawoud Y Kamel, Gaza, Palestine
Abdon Guerra, San Antonio, 5 region, Chile
Esin Kabul, Istanbul,Turkey
Comments:
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