GI: Diseases of the Mouth Flashcards
What diseases of the GI tract can recurrent apthous ulcers point to?
Crohns disease
Coeliacs disease
(Anaemia)
How long do minor apthous ulcers take to heal?
2 weeks
How long do major apthous ulcers take to heal?
Minimum of 4 weeks + scarring
What infective organisms can cause apthous ulcers?
Herpes simplex virus
Herpes zoster virus
Coxsackie A
How does a squamous cell carcinoma of the mouth present?
An indolent (non-healing) ulcer often on the lateral border of the tongue or floor of the mouth
What are white patches in the mouth associated with?
Smoking
Candida infection
Lichen planus
Syphilis
What is lichen planus?
Lacy white lines/rash on the tongue. Can develop into ulcers
What is leukoplakia? What are its indications?
White patches on the tongue in which no local cause can be found
Could be a premalignant change- must be biopsied
What causes hairy leukoplakia? What condition does it indicate?
Epstein-Barr virus. Indicates HIV
Name 2 oral manifestations of anaemia
Angular cheillitis
Glossitis
What is angular cheillitis?
Cracking of the corners of the mouth- caused by staphylococcal or candida infection
What is glossitis?
Inflammation of the tongue and loss of filiform papilla, leaving tongue smooth and enlarged. Indicates Vitamin B12, folate or iron deficiency
What is ulcerative gingivitis?
Crater-like ulcers + bleeding
Also known as ‘vincents infection’
Which patients are likely to get ulcerative gingivitis?
The malnourished or immunocompromised
How do you treat ulcerative gingivitis?
Oral metronidazole
