Thick acetic acid white epithelium with biopsy has some possibility of inflammation. Acetate white epithelium is a common term used in performing colposcopy, and the presence of this change is often the result of diseases such as cervical intraepithelial lesions and inflammation of the cervix. Patients with a thick leukoplakia are more likely to have intraepithelial lesions, but there is also a possibility that they may be the result of an inflammatory condition. A biopsy of a patient with a thick acetic acid white epithelium is somewhat likely to result in inflammation, and the inflammation that leads to this reaction is usually more severe. Patients with inflammation in the cervical area often experience increased vaginal discharge, irregular vaginal bleeding, lower abdominal pain or lumbosacral pain.