IJWD Image Quiz Challenge

Images in Women's Dermatology Quiz

The patient’s clinical presentation is most consistent with


A 67-year-old man with a history of mantle cell lymphoma with bone marrow involvement developed painful oral erosions. He had been previously treated with vincristine, cyclophosphamide, and four cycles of rituximab, ifosfamide, etoposide, cytarabine, and methotrexate. He then transitioned to ibrutinib monotherapy 3 months prior to the onset of the oral erosions. Physical examination was notable for large aphthae with surrounding violaceous rims on the ventral and dorsal tongue, gingival mucosa, and labial mucosa. Complete blood count was unremarkable, including the absence of neutropenia.