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C'est un lichen plan buccal en phase quiescent. Le traitement pour un lichen : corticoïde.La langue est dépapillée, rétrécie. Présence d’un excès de kératine. La lésion est homogène, pas rouge, pas d’ulcération. Toute la langue est concernée, le moins inquiétant ce sont les parties blanches. Dans le lichen plan, on a des phases d’activités et de quiescence. Ici, on est dans une phase de quiescence, période peu propice à la biopsie qui peut durer 15-20 ans. La rechute vers une phase active (ulcérations, lésions blanchâtres) est possible. C’est un patient à surveiller et il faut rechercher s’il y a une modification, dans ce cas il faudra faire un prélèvement.
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