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❖ Plus fréquent chez le fumeur mais ce n’est pas une kératose réactionnelle. C’est un lichen plan.❖ La couche cornée est ortho- ou para-kératosique, d’épaisseur régulière, l’épithélium sous-jacent est acanthosique = mêmes caractéristiques qu’une kératose réactionnelle, mais auxquelles se rajoutent des éléments inflammatoires sous la lame basale.

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