Oral manifestation of disease

Question 1

How could anaemia (iron folate or B12 deficient) manifest in the mouth?

Answer 1

1. Recurrent oral ulceration
2. Oral dysaethesia (perceived pain in the mouth)
3. Oral candida
4. Angular cheilitis
5. Smooth tongue

Question 2

Give some possible underlying reasons for anaemia

Answer 2

GI bleeding
Excess menstrual loss
Poor diet
Malabsorption
Malignancy

Question 3

What could be going on if these was excessive spontaneous oral mucosal bleeding?

Answer 3

Bleeding disorders such as leukaemia
Haemorrhage
Coagulation problems

Question 4

Why do you get oral manifestations with crohns disease?

Answer 4

The mouth may be directly diseased
Blood loss
Malabsorption

Question 5

Why is the mouth affected in coeliac disease?

Answer 5

Malabsorption

Question 6

What is orofacial granulomatosis?

Answer 6

Swelling of the lips and cheeks usually die to an allergy.

Could also be due to crohns diseae (due to obstruction of lymphatics) or sarcoidosis

Question 7

Give 5 ways in which crohns disease could manifest in the mouth?

Answer 7

Oral ulceration
Mucosal tags
Cobblestone mucosa
Angular cheilitis
Swollen lips

Question 8

How could GORD manifest in the mouth?

Answer 8

Dental enamel erosion

Mucosal irritation and fibrosis

Question 9

What could you see orally in coeliac disease?

Answer 9

Recurrent oral ulceration (secondary to malabsorption)

Question 10

What oral effects would you see in ulcerative colitis?

Answer 10

Recurrent oral ulceration

Oral side effects of drug therapy (steroids, sulphasalazine)

Question 11

What 2 heart drugs can cause adverse effects in the mouth?

Answer 11

Nicorandil

Pottassium channel activator

Question 12

What is sjogren’s syndrome?

Answer 12

An autoimmune condition where the body’s immune system attacks glands that secrete fluid, such as the tear and saliva glands.
Patient will have a very dry mouth