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A “Speckled” Lesion

speckled lesion
The following Case Challenge is provided in conjunction with the American Academy of Oral and Maxillofacial Pathology.

This 61-year old Caucasian male presented with a chief complaint of sensitivity of the left buccal mucosa for approximately eight to nine months. The patient noted discomfort when eating spicy or acidic foods.

After you have finished reviewing the available diagnostic information, make the diagnosis.