Abstract
Lichenoid dysplasia (LD) refers to a condition that clinically resembles oral lichen planus (OLP) and/or oral lichenoid lesions (OLL), but histologically harbors epithelial dysplasia. LD has a greater tendency to acquire malignant transformation and although it resembles OLP/OLL, many authors have classified LD as a separate and distinct entity. Herein, we report a case of a 45-year-old female patient with severe burning sensation for the last 6 months. Clinically, she had lichenoid features and histologically mild epithelial dysplasia. She had extensive lesions that made surgical management complicated. Therapeutic management was instituted for her with periodic follow-up. There was adequate reduction in lesion size, burning sensation as well as in the inflammatory component of the lesion. A proper clinical and histopathological classification system is the need of the hour for OLP, OLL, and LD that will help clinicians to identify and treat the condition.
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