Epstein Barr virus positive mucocutaneous ulcer in a background of Crohn's disease and Waldenström macroglobulinemia: a case report highlighting diagnostic pitfalls

Abstract

A specialist haematopathology opinion was sought on a left palatine tonsillar excision biopsy performed for suspected carcinoma. The patient, a 72-year old male, presented with oropharyngeal dysphagia in May 2015 and was diagnosed with hypertrophic, ulcerated lichen planus on an incision biopsy of a white patch on the posterior third of the tongue. Topical steroids were commenced with clinical improvement.

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