Abstract
Verruciform Xanthoma (VX) is an rare benign mucocutaneous condition that occurs predominantly in the oral cavity which occasionally affects skin and genitals. It appears as a papule or single plaque showing a verrucous or papillomatous structure, with variable color from reddish pink to gray. In majority of oral cases, it affects gingiva and alveolar mucosa being a solitary lesion. It is often associated with pre-existing epithelial and/or inflammatory disorder and is characterized histopathologically by papillary epithelial hyperplasia and the presence of foamy macrophages in connective tissue papillae. We report a rare case of widespread verrucous xanthoma of gingiva and alveolar mucosa which was managed by wide local excision and defect was reconstructed using nasolabial flap.
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