oral manifestation of systemic disease Flashcards
relevance of oral medicine
the first only or most severe feature of systemic disease
principle focus of therapy
dominant cause of decreased quality of life
how do ulcers present
solitary or multiple
response when someone comes with a solitary ulcer
exclude trauma- physical or chemical
malignancy in a solitary ulcer
oral squamous cell carcinoma
infection in solitary ulcer
tuberculosis- can be primary or secondary infection of mycobacterium tuberculosis
tertiary syphilis- premalignant lesion
primary syphilis
crusty lesions on the lip
multiple ulcers causes
recurrent aphthous ulceration- mostly no underlying conditions
most common cause
patient usually otherwise well
stress related
exclude haematinic deficiency and GI disease
3 types, major, minor, herpetiform
bechets- multiple ulcers
multisystem disease
hereditary systemic vasculitis
almost identical ulcers as RAU
recurrent ulcers what should we exlude
anaemia
low haemoglobin low B12 follate
recurrent ulcers- anaemia
mucosal pallor
oral ulceration
glosstis
red raw tongue
angular chelitis- cracks at side of the mouth
predisposition to candida- fungus - anaemic more prone to it (thrush)-
disturbed taste
recurrent ulcers- herpes
most inherit in childhood
gingiva red raw and shiny
crusting around the lips
self limiting- treat symptomatically- paracetomol bed rest etc
reactivation of herpes virus- cold sore when get ill
lichen planus
autoimmune disease
lace like pattern- whichens strea
bilateral- affect both side of the tongue- important need this
asymptomatic
can affect the skin and is potentially malignant
white patches
some wipe off some doent
white patches that wipe off
usually pseudomembranous candiadis or thrush
white patches that don’t wipe off
trauma
epithelial dysplasia
neoplasia
chronic mucocutaneous candidiasis
