Smokeless tobacco keratosis.

Area of Science:

• Oral pathology
• Dermatology
• Oncology

Background:

• Smokeless tobacco use is associated with various oral lesions.
• Smokeless tobacco keratosis is a recognized benign consequence of oral tobacco habit.

Observation:

• A 50-year-old male patient presented with extensive history of smokeless tobacco consumption.
• The patient exhibited characteristic white, gray, or pale macules/papules with wrinkling on the oral mucosa.

Findings:

• Shave biopsy of the oral lesion revealed typical histopathological changes consistent with smokeless tobacco keratosis.
• The condition was confirmed as benign, with no evidence of dysplasia or malignancy.

Implications:

• This case highlights the importance of recognizing smokeless tobacco keratosis in patients with a history of smokeless tobacco use.
• Prompt diagnosis and recommendation for tobacco cessation are crucial for managing this oral mucosal change and preventing potential complications.