What white condition found on buccal mucosa is often confused with other lesions?

The condition found on the buccal mucosa referred to in this context is often lichen planus. This condition presents as white, lacy patches or striations (known as Wickham's striae) on the mucous membranes, which can sometimes be mistaken for other white lesions due to its appearance. Lichen planus is a chronic inflammatory condition that not only affects the buccal mucosa but can also involve the skin, nails, and other mucosal surfaces.

The distinctive feature of lichen planus is its characteristic network of white lines and patches that can be confused with conditions such as leukoplakia, which is simply a white patch that cannot be rubbed off and may indicate pre-cancerous changes, or frictional keratosis, caused by irritation. White sponge nevus, on the other hand, presents as a white, spongy appearance of the buccal mucosa but is more often congenital and appears differently as it lacks the striations typical of lichen planus.

Recognizing the features of lichen planus is essential as it requires different management and carries a different prognosis compared to other lesions that may appear similar. Understanding these nuanced differences is crucial for accurate diagnosis and treatment planning in