inflammatory mucosal disease

Question 1

What is lichen plans

Answer 1

An autoimmune mediated inflammatory mucosal disease that presents as red white or ulcerated oral mucosal lesions

Question 2

What drugs can lichenoid like reactions be bought on by

Answer 2

1. NSAIDs
2. Carbamazepine
3. Beta blockers
4. Ace inhibitors

Question 3

What must we do to confirm a diagnosis of lichen planes

Answer 3

Biopsy to rule out squamous cell carcinoma

Question 4

How can we manage lichen planes

Answer 4

1. Toothpastes can be irritant and so less stringent pastes are indicated e.g pronamel
2. Topical and systemic agents
3. Chlorhexidine mouthwash
4. Alcohol and tobacco advice

Question 5

Give examples of topical and systemic agents we can use to manage lichen planus

Answer 5

1. Difflam oral spray for analgesics
2. Orabase or gelclair coating agent to soothe mucosa
3. Corticosteroids; Betnesol 500mg dissolved in water and mouthwash
4. Flixonase spray

Question 6

What is pemphigoid

Answer 6

An immune mediated blistering disease that has multiple subtypes

Question 7

Name the most common pemphigoid that can affect the oral mucosa

Answer 7

Mucous membrane pemphigoid

Question 8

What can mucous membrane pemphigoid present as

Answer 8

1. Desquamative gingivitis
2. Blisters that are tense and filed with blood that can burst to form irregular erosions
3. Chronic conjunctivas

Question 9

Is there a cure for pemphigoid

Answer 9

no we just manage symptoms and try to prevent organ damage

Question 10

How can we manage pemphigoid

Answer 10

Corticosteroids
antimicrobials
analgesics
refer

Question 11

What is pemphigus

Answer 11

A group of immune mediated intra epidermal blistering diseas

Question 12

Name the most common pemphigus encountered in the mouth

Answer 12

Pemphgus vulgaris