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Benign alveolar ridge keratosis (oral lichen simplex chronicus) : A distinct clinicopathologic entity

Identifieur interne : 000384 ( PascalFrancis/Corpus ); précédent : 000383; suivant : 000385

Benign alveolar ridge keratosis (oral lichen simplex chronicus) : A distinct clinicopathologic entity

Auteurs : Easwar Natarajan ; Sook-Bin Woo

Source :

RBID : Pascal:08-0126551

Descripteurs français

English descriptors

Abstract

Benign alveolar ridge keratosis is a common benign white papule or plaque that occurs on the keratinized gingiva of the maxillary or mandibular alveolar ridge that is probably traumatic/frictional in origin, with characteristic histologic features, similar to those of lichen simplex chronicus of the skin. This is a retrospective study of 108 consecutive specimens displaying characteristic histopathologic features of benign alveolar ridge keratosis accessioned during a 36-month period. There was a male:female ratio of 3.7:1. It occurred on the attached gingiva, with the retromolar area and the edentulous alveolar ridge involved in 51% and 49% of cases, respectively; 19% were bilateral and all bilateral cases were on the retromolar pad. Detailed clinical information was available on 27 cases by a mail-in questionnaire. Histologically, the lesions were characterized by moderate to marked hyperorthokeratosis and wedge-shaped hypergranulosis. The epithelium exhibited slight surface papillomatosis and acanthosis in the form of long, tapered rete ridges that frequently anastomosed at the base. There was generally insignificant inflammation. These features are similar if not identical to lichen simplex chronicus of the skin, a benign condition caused by chronic irritation. Ten randomly selected cases were immunostained for p16INK4A(p16), a tumor suppressor protein expressed in dysplastic epithelium. All lesions were negative for p16. Benign alveolar ridge keratosis is a specific clinicopathologic entity that should be removed from the category of leukoplakia as is currently the practice for clinical white lesions with a specific, consistently recognizable histologic appearance.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0190-9622
A02 01      @0 JAADDB
A03   1    @0 J. Am. Acad. Dermatol.
A05       @2 58
A06       @2 1
A08 01  1  ENG  @1 Benign alveolar ridge keratosis (oral lichen simplex chronicus) : A distinct clinicopathologic entity
A11 01  1    @1 NATARAJAN (Easwar)
A11 02  1    @1 WOO (Sook-Bin)
A14 01      @1 Department of Oral Health and Diagnostic Sciences, University of Connecticut School of Dental Medicine @3 USA @Z 1 aut.
A14 02      @1 Department of Oral Medicine, Infection and Immunity, Harvard School of Dental Medicine @2 Boston @3 USA @Z 2 aut.
A14 03      @1 Pathology Services Inc @2 Cambridge @3 USA @Z 2 aut.
A20       @1 151-157
A21       @1 2008
A23 01      @0 ENG
A43 01      @1 INIST @2 18387 @5 354000161896990200
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 23 ref.
A47 01  1    @0 08-0126551
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of the American Academy of Dermatology
A66 01      @0 USA
C01 01    ENG  @0 Benign alveolar ridge keratosis is a common benign white papule or plaque that occurs on the keratinized gingiva of the maxillary or mandibular alveolar ridge that is probably traumatic/frictional in origin, with characteristic histologic features, similar to those of lichen simplex chronicus of the skin. This is a retrospective study of 108 consecutive specimens displaying characteristic histopathologic features of benign alveolar ridge keratosis accessioned during a 36-month period. There was a male:female ratio of 3.7:1. It occurred on the attached gingiva, with the retromolar area and the edentulous alveolar ridge involved in 51% and 49% of cases, respectively; 19% were bilateral and all bilateral cases were on the retromolar pad. Detailed clinical information was available on 27 cases by a mail-in questionnaire. Histologically, the lesions were characterized by moderate to marked hyperorthokeratosis and wedge-shaped hypergranulosis. The epithelium exhibited slight surface papillomatosis and acanthosis in the form of long, tapered rete ridges that frequently anastomosed at the base. There was generally insignificant inflammation. These features are similar if not identical to lichen simplex chronicus of the skin, a benign condition caused by chronic irritation. Ten randomly selected cases were immunostained for p16INK4A(p16), a tumor suppressor protein expressed in dysplastic epithelium. All lesions were negative for p16. Benign alveolar ridge keratosis is a specific clinicopathologic entity that should be removed from the category of leukoplakia as is currently the practice for clinical white lesions with a specific, consistently recognizable histologic appearance.
C02 01  X    @0 002B08J
C02 02  X    @0 002B08I
C03 01  X  FRE  @0 Névrodermite @5 01
C03 01  X  ENG  @0 Neurodermatitis @5 01
C03 01  X  SPA  @0 Neurodermatitis @5 01
C03 02  X  FRE  @0 Anatomopathologie @5 02
C03 02  X  ENG  @0 Anatomic pathology @5 02
C03 02  X  SPA  @0 Anatomía patológica @5 02
C03 03  X  FRE  @0 Histopathologie @5 03
C03 03  X  ENG  @0 Histopathology @5 03
C03 03  X  SPA  @0 Histopatología @5 03
C03 04  X  FRE  @0 Kératose @5 09
C03 04  X  ENG  @0 Keratosis @5 09
C03 04  X  SPA  @0 Queratosis @5 09
C03 05  X  FRE  @0 Voie orale @5 10
C03 05  X  ENG  @0 Oral administration @5 10
C03 05  X  SPA  @0 Vía oral @5 10
C03 06  X  FRE  @0 Symptomatologie @5 11
C03 06  X  ENG  @0 Symptomatology @5 11
C03 06  X  SPA  @0 Sintomatología @5 11
C03 07  X  FRE  @0 Dermatologie @5 12
C03 07  X  ENG  @0 Dermatology @5 12
C03 07  X  SPA  @0 Dermatología @5 12
C07 01  X  FRE  @0 Pathologie de la peau @5 37
C07 01  X  ENG  @0 Skin disease @5 37
C07 01  X  SPA  @0 Piel patología @5 37
C07 02  X  FRE  @0 Lichénification @5 38
C07 02  X  ENG  @0 Lichenification @5 38
C07 02  X  SPA  @0 Liquenificación @5 38
C07 03  X  FRE  @0 Psychopathologie @5 39
C07 03  X  ENG  @0 Psychopathology @5 39
C07 03  X  SPA  @0 Psicopatología @5 39
N21       @1 070
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 08-0126551 INIST
ET : Benign alveolar ridge keratosis (oral lichen simplex chronicus) : A distinct clinicopathologic entity
AU : NATARAJAN (Easwar); WOO (Sook-Bin)
AF : Department of Oral Health and Diagnostic Sciences, University of Connecticut School of Dental Medicine/Etats-Unis (1 aut.); Department of Oral Medicine, Infection and Immunity, Harvard School of Dental Medicine/Boston/Etats-Unis (2 aut.); Pathology Services Inc/Cambridge/Etats-Unis (2 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of the American Academy of Dermatology; ISSN 0190-9622; Coden JAADDB; Etats-Unis; Da. 2008; Vol. 58; No. 1; Pp. 151-157; Bibl. 23 ref.
LA : Anglais
EA : Benign alveolar ridge keratosis is a common benign white papule or plaque that occurs on the keratinized gingiva of the maxillary or mandibular alveolar ridge that is probably traumatic/frictional in origin, with characteristic histologic features, similar to those of lichen simplex chronicus of the skin. This is a retrospective study of 108 consecutive specimens displaying characteristic histopathologic features of benign alveolar ridge keratosis accessioned during a 36-month period. There was a male:female ratio of 3.7:1. It occurred on the attached gingiva, with the retromolar area and the edentulous alveolar ridge involved in 51% and 49% of cases, respectively; 19% were bilateral and all bilateral cases were on the retromolar pad. Detailed clinical information was available on 27 cases by a mail-in questionnaire. Histologically, the lesions were characterized by moderate to marked hyperorthokeratosis and wedge-shaped hypergranulosis. The epithelium exhibited slight surface papillomatosis and acanthosis in the form of long, tapered rete ridges that frequently anastomosed at the base. There was generally insignificant inflammation. These features are similar if not identical to lichen simplex chronicus of the skin, a benign condition caused by chronic irritation. Ten randomly selected cases were immunostained for p16INK4A(p16), a tumor suppressor protein expressed in dysplastic epithelium. All lesions were negative for p16. Benign alveolar ridge keratosis is a specific clinicopathologic entity that should be removed from the category of leukoplakia as is currently the practice for clinical white lesions with a specific, consistently recognizable histologic appearance.
CC : 002B08J; 002B08I
FD : Névrodermite; Anatomopathologie; Histopathologie; Kératose; Voie orale; Symptomatologie; Dermatologie
FG : Pathologie de la peau; Lichénification; Psychopathologie
ED : Neurodermatitis; Anatomic pathology; Histopathology; Keratosis; Oral administration; Symptomatology; Dermatology
EG : Skin disease; Lichenification; Psychopathology
SD : Neurodermatitis; Anatomía patológica; Histopatología; Queratosis; Vía oral; Sintomatología; Dermatología
LO : INIST-18387.354000161896990200
ID : 08-0126551

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Pascal:08-0126551

Le document en format XML

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<AU>NATARAJAN (Easwar); WOO (Sook-Bin)</AU>
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<SO>Journal of the American Academy of Dermatology; ISSN 0190-9622; Coden JAADDB; Etats-Unis; Da. 2008; Vol. 58; No. 1; Pp. 151-157; Bibl. 23 ref.</SO>
<LA>Anglais</LA>
<EA>Benign alveolar ridge keratosis is a common benign white papule or plaque that occurs on the keratinized gingiva of the maxillary or mandibular alveolar ridge that is probably traumatic/frictional in origin, with characteristic histologic features, similar to those of lichen simplex chronicus of the skin. This is a retrospective study of 108 consecutive specimens displaying characteristic histopathologic features of benign alveolar ridge keratosis accessioned during a 36-month period. There was a male:female ratio of 3.7:1. It occurred on the attached gingiva, with the retromolar area and the edentulous alveolar ridge involved in 51% and 49% of cases, respectively; 19% were bilateral and all bilateral cases were on the retromolar pad. Detailed clinical information was available on 27 cases by a mail-in questionnaire. Histologically, the lesions were characterized by moderate to marked hyperorthokeratosis and wedge-shaped hypergranulosis. The epithelium exhibited slight surface papillomatosis and acanthosis in the form of long, tapered rete ridges that frequently anastomosed at the base. There was generally insignificant inflammation. These features are similar if not identical to lichen simplex chronicus of the skin, a benign condition caused by chronic irritation. Ten randomly selected cases were immunostained for p16INK4A(p16), a tumor suppressor protein expressed in dysplastic epithelium. All lesions were negative for p16. Benign alveolar ridge keratosis is a specific clinicopathologic entity that should be removed from the category of leukoplakia as is currently the practice for clinical white lesions with a specific, consistently recognizable histologic appearance.</EA>
<CC>002B08J; 002B08I</CC>
<FD>Névrodermite; Anatomopathologie; Histopathologie; Kératose; Voie orale; Symptomatologie; Dermatologie</FD>
<FG>Pathologie de la peau; Lichénification; Psychopathologie</FG>
<ED>Neurodermatitis; Anatomic pathology; Histopathology; Keratosis; Oral administration; Symptomatology; Dermatology</ED>
<EG>Skin disease; Lichenification; Psychopathology</EG>
<SD>Neurodermatitis; Anatomía patológica; Histopatología; Queratosis; Vía oral; Sintomatología; Dermatología</SD>
<LO>INIST-18387.354000161896990200</LO>
<ID>08-0126551</ID>
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</inist>
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