Journal of AdvancedMedical and Dental Sciences Research

Oral mucosal lesions characterize different colorations out of which many may be physiological variations while others may be of serious threat. Red lesions are a group of mucosal lesions which have a mixed proportion of both (harmless and harmful). Erythroplakia (speckled) is a red lesion that is commonly seen interspersed between multiple white lesions and may easily be interpreted as a primary white lesion, rather than a primary red lesion. Since many red and white lesions are not precancerous in nature, it becomes significant for a clinician to differentiate the two and initiate treatment accordingly. We present a case of an elderly male patient, with a history of chewing tobacco, who had bilateral erythroplakia on either side of the buccal mucosa. The clinical features of the lesion presented classical signs and symptoms of erythroplakia while the final diagnosis was confirmed only after histopathological examination. Management of the condition has also been discussed.