Oral lesions Flashcards
Leukoplakia etiology
HPV, inflammatory/autoimmune, tobacco
oral white lesion that doesn’t brush/scrape
Leukoplakia
lacy leukoplakia but may be erosive
lichen planus
oral lichen planus etiology
chronic inflammatory autoimmune disease
oral lichen planus treatment
manage pain/discomfort w/ topical or systemic corticosteroids
blue-black macule seen in area near a dental filling
Amalgam tattoo
What can be mistaken for melanoma?
Amalgam tattoo
Painful oral lesions; small, gray on an erythematous base
Apthae (aka canker sores)
Apthae treatment
Symptomatic relief- Orabase steroid
Autoimmune vasculitis. Recurrent oral and genital apthae
Behcet’s
Behcet’s etiology
inflammatory disorder
Behcet’s diagnostic criteria
recurrent oral ulcers > 3x/year & 2 other clinical findings (genital ulcers, skin/eye lesions)
fluid-filled cavities w/ mucous lining the epithelium
Mucoceles
Mucocele etiology
may be seen after mild oral trauma
benign
sore throat/mouth, oral erythema w/ or w/out white plaques
Oropharyngeal candidiasis
Oropharyngeal candidiasis treatment
Nystatin suspension (topical), clotrimazole (topical), or oral fluconazole (diflucan)
painful intraoral grouped vesicles on an erythematous base
Herpes simplex virus
HSV etiology
HSV1
aggravated by sunlight, trauma, stress
Herpes treatment
Acyclovir cream
Oral meds: acyclovir, valacyclovir, famciclovir
prodrome followed by pale papules on erythematous base in mouth. painful. lesions may also occur on hands/feet/buttocks
Coxsackie virus
sudden onset fever, vomiting, sore throat
Papules on soft palate become shallow ulcers in 3 days then heal
Herpangina
concurrent mucosal & trunk lesions w/ new medication use
may see erythema and edema of the lips
intraoral bullae in severe cases
SJS/TEN
SJS/TEN tx
discontinue med, corticosteroids
slow onset of tender, flaccid bullae
superficial skin slips away from deeper layers
Pemphigus
superficial skin slips away from deeper layers
Nikolsky’s Sign
Pemphigus etiology
autoimmune blistering disease
Pemphigus treatment
systematic (oral) corticosteroids
immunosuppressive agents
antibiotics for secondary infection
atrophy of filiform papillae
Atrophic glossitis
Potential atrophic glossitis etiologies (3)
iron, B12, folic acid deficiency
Sjogren sydrome/dry mouth
Candida
associated with antibiotics use, candida, poor oral hygiene
black hairy tongue
