ch. 9 Flashcards
What causes a Transient Lingual papillitis? What is it?
Hypersensitivy or allergic reaction
Inflamed taste buds (filiform, fungiform)
How does transient Lingual papillitis resolve?
It resolves on its own.
What does transient lingual papillitis look like?
White yellow papules (blisters) on the tongue
What are recurrent aphthous ulcerations? (RAU) How many people get them?
Recurring Aphthous Ulcers!
30% of people get them.
If you see an ulcer that looks like an aphthous ulcer on the attached mucosa what could it be?
Viral Herpes
How big are minor RAU? how many?
less than cm
1-5
What’s another name for Major Aphthae stomatitis?
Suttons disease
How big are Major RAU (suttons disease)? How long to heal? Any Scarring?
1-3 cm
2-6 weeks
Yes
What are the RAU that are less than 3mm? And have a 100 at a time?
Herpetiform RAU
Drug for treating RAU?
Clobetasol Proprionate
If you get apthous ulcers, genital ulcers, and ocular ulcers (inflamed eyes), and Arthritis what could it be?
Behcets syndrome
What is Lupus Pernio?
Purple Skin lesions on the head and neck of Sarcoides
What are teh two different syndromes associated with sarcoides?
Lofgrens syndrome (erythema nodosum, hilar lymphadenopathy, arthralgia) Heerfordts syndrome (Parotid enlargement, eye inflammation, facial paralysis, fever)
What’s the difference in TB and Sarcoides histology?
TB: caseating Granulomatous
Sarcoides: Non-caseating granulomatous
What test should you order for Sarcoides?
Serum angiotensin converting enzyme
What is sarcoides like?
TB, granuloma skin lesions
What organs are involved in Sarcoides?
Lungs
Skin
Lymph
When lips are the only part involved in “orofacial granulomatosis” what’s it called?
Cheilitis granulomatosa
What is Melkersson-Rosentahl syndrome? three parts
Cheilitis granulomatosa
Facial paralysis
Fissured tongue
What’s the most common facial part involved in orofacial granulomatosis?
Lips
What’s Wegener’s granulomatosis similar to?
TB (necrotizing granulomatous)
What’s the most common cause of death in Wegener’s granulomatous?
Renal involvement
What do Wegeners granulomatosis oral lesions look like?
Strawberry gingiva
How to diagnose Wegeners granulomatosis?
ANCA (anti neutrophil Cytoplasm antibodies) detection
What do you treat Wegerers granulomatosis with?
Steroids
What happens with Cinnamon sensitivity?
red gingiva
localized lesions
sloughing of mucosa
What does sodium lauryl sulfate cause in toothpastes?
Superficial sloughing
What is Quinke’s disease AKA?
Angioedema
What is angioedema?
Edematous swelling of the soft tissues
What causes Angioedema?
Mast cell degranulation_Histamine release…..or……
Angiotensin Converting Enzyme Inhibitor (ACE inhibitor meds)