COBBLESTONE APPEARANCE 

  1. Heck’s disease/focal epithelial hyperplasia
    1. Multiple squamous papillomas, papules, nodules
    2. HPV – type 13 and 32
  2. Pysotomatitis Vegetans
    1. Inflammatory stomatitis associated with inflammatory bowel disease
      1. Crohn’s disease
      2. Ulcerative Colitis 
    2. Cereberiform tongue
      1. This is also seen MC in pemphigus Vegetans and less likely in Scrotal tongue 
    3. Fissured Tongue 
      1. Seen in scrotal tongue
      2. Also called plicated tongue
      3. Etiology = suffering from stress/ hereditary
      4. Associated with Merkelsson Rosenthal syndrome = Triad of
        1. Facial paralysis
        2. Cheilitis Granulomatosa
        3. Fissured tongue
  3. Darrier’s disease 

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