9 Allergies/Immune Diseases Flashcards
What is the diagnosis and variant of that?
Transient Lingual Papillitis - Generalized
What is the full diagnosis?
transient lingual papillitis - localized
Is this generalized or papulokeratotic variant of transient lingual papillitis?
Papulokeratotic (aka diffuse) because the inflamed papillae have excess keratin deposited on top of them
This is on movable mucosa and is painful. What will you tell your patient?
Recurrent aphthous ulcer
(aka aphthous stomatitis)
If this RAU is less than 1cm across and is seen on a young patient, describe how it will heal.
(Minor RAU) Will heal without scarring in 7-14 days
Seen in an adolescent. How long does it take to heal? Does it scar? Where else could you find these?
- 2-6 weeks to heal
- possibility of scarring
- can be found on labial mucosa, soft palate, or tonsillar fauces
This lesion is 1.5cm in diameter. What are two names for this?
- Major Recurrent Aphthous Ulcer
- Sutton’s Disease
If this isn’t herpes, what else could it be?
Herpetiform RAU
If these are RAUs, what kind is it? How old is the patient? How long does it take to heal?
- Herpetiform (1-3mm across)
- adult patient
- 7-10 days w/o scarring
Pt presents with aphthous-like lesions in mouth, genital ulcers, and erythema nodosum-like lesions. What could this be?
Behçet’s Syndrome
What are some common presentations of Behçet’s syndrome?
Aphthous-like ulcers (99%)
Genital ulcers (75%)
Ocular inflammation (70-85%)
Joint pain is common
What nationalities are typical to see Behçet’s syndrome?
Turkish, Japanese, Eastern Mediterranean
What organs are usually affected by sarcoidosis?
lungs, lymph nodes, skin, eyes, salivary glands
What two types of skin lesions can manifest in sarcoidosis?
Lupus pernio (purple lesions on H&N specific to sarcoidosis)
Erythema nodosum (scattered, red lesions on lower legs non-specific to sarcoidosis)
What are two syndromes associated with acute sarcoidosis?
- Löfgren’s syndrome
- Heerfodt syndrome
To diagnose what pathology would you order this image?
sarcoidosis
What are these chronic, purple, indurated lesions called? What pathology are they a manifestation of?
Lupus pernio - seen with Sarcoidosis
With what syndrome associated with sarcoidosis is this manifestation?
Löfgren’s syndrome (picture showing erythema nodosum)
Swelling of the face and lips is consistent with what?
Orofacial granulomatosis
Swelling of just the lips is called?
Cheilitis granulomatosa
What syndrome is associated with orofacial granulomatosis?
Melkersson-Rosenthal syndrome
Strawberry gingivitis is seen with what pathology?
Wegener’s Granulomatosis
Pt chews big red. What is this?
contact stomatitis (cinnamon related)
diffuse edematous swelling of the soft tissues is what? (give both names)
Angioedema (aka Quinckie’s Disease)
