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20 November 2024: Articles Poland

Innovative Combination of Tetracycline Rinse and CO Laser Ablation for Treating White Sponge Nevus in Adolescents: A Case Study

Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)

Karolina Spodzieja

^1ABEF, Piotr Sobiech^1AD, Dorota Olczak-Kowalczyk

^1ACD*

DOI: 10.12659/AJCR.944795

Am J Case Rep 2024; 25:e944795

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Figures

Figure 1.. Lesions on the right buccal mucosa.

Figure 2.. Lesions on the left buccal mucosa.

Figure 3.. Lesions on the tongue.

Figure 4.. Mild lesions on the right buccal mucosa in patient’s mother.

Figure 5.. Mild lesions on the left buccal mucosa in patient’s mother.

Figure 6.. Histopathologic view of the lesion, (a) hyperkeratosis, spongiosis, acanthosis (×40) (H&E).

Figure 7.. Histopathologic view of the lesion, suprabasal keratinocytes vacuolation with dense peri and paranuclear eosinophilic condensation (x400) (H&E).

Figure 8.. Left buccal lesions after treatment with tetracycline solution.

Figure 9.. Right buccal lesions after treatment with tetracycline solution.

Figure 10.. Improvement of lesions on the tongue surface after treatment with tetracycline solution.

Figure 11.. De-epithelialization of the left cheek mucosa performed using a CO2 laser.

Figure 12.. Recurrence of lesions after laser ablation, February 2024.

Tables

Table 1.. Differential diagnosis – conditions similar to WSN.

Table 1.. Differential diagnosis – conditions similar to WSN.

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American Journal of Case Reports eISSN: 1941-5923