Concluded Case

oral pigmentation

asymtomatic hyperpigmentation present over lower lip and oral mucosa... since few days...she had histiry of bledding of gums+ dd_ vit b12 defic,oral Lp,Peutz jegher syndrome,FDE diagnosis and treatment

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Concluded answer

Most likely to be FDE mam , is there H/o of burning sensation for spicy foods ? There is no appreciable pitting in nails mam

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add another dd: Physiologic pigmentation of oral mucosa.

Looks like physiological pigmentation...... Ask for her age.... any hormonal treatment or contraceptive pills....

Advice biopsy for the lesion.. I saw a case where it started as a black mole and then gradually came out to be melanoma.

Most likely to be FDE mam , is there H/o of burning sensation for spicy foods ? There is no appreciable pitting in nails mam

No burning senzation r pain
0

Physiological pigmentation oral mucosa

FDE most likely

Kindly check Liver Function Test

Check hb

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