Oral Pathology Chapter 9 Flashcards
What form of hypersensitivity manifests on the tongue involving variable fungiform papilla?
Transient Lingual Papillitis
What three types of transient lingual papillitis are there?
- Localized, 2. generalized and 3 . diffuse
What is a good way to treat transient lingual papillitis?
Magic mouthwash
What are the three constituents of Dr. Trump’s magic mouthwash?
- Maalox, 2. Benadryl and 3. Lidocaine
What is the scientific name of canker sores?
Recurrent Aphthous Ulceration
Where do canker sores occur?
Exclusively on movable mucosa
What are the three types of canker sores?
- Minor, 2. Major and 3. Herpetiform
When would a patient acquire minor canker sores?
During their childhood
What age group of patients get major canker sores?
Adolescents
In what three locations do major canker sores typically occur?
- Tonsillar fauces, 2. labial mucosa and 3. soft palate
How many lesions can be present in a herpetiform canker sore?
Up to 100
What is the size of a minor canker sore?
3-10 mm
What is the healing time of a minor canker sore?
7-14 days
What is the scarring of a minor canker sore?
None
What is the lesions per episode of a minor canker sore?
1-5
What is the recurrence of a minor canker sore?
Fewest
What is the size of a major canker sore?
1-3 cm
What is the healing time of a major canker sore?
2-6 weeks
What is the scarring of a major canker sore?
Possible
What is the lesions per episode of a major canker sore?
1-10
What is the recurrence of a major canker sore?
More than minor, but less than herpetiform
What is the size of a herpetiform canker sore?
1-3 mm
What is the healing time of a herpetiform canker sore?
7-10 days
What is the scarring of a herpetiform canker sore?
None
What is the lesion number per episode of a herpetiform canker sore?
Up to 100
What is the recurrence of a herpetiform canker sore?
Most
If a patient demands treatment for canker sores, what should you give them?
Topical corticosteroid
What disease has oral aphthous-like ulcerations, ocular inflammation, joint pain, arthralgia, enlarged joints, genital ulcers and skin lesions?
Behcet’s Syndrome
What is the treatment for Behcet’s syndrome?
Systemic and topical steroids
What disease is much more common in African Americans than Caucasians, targets the lungs, lymph nodes, skin, eyes, and salivary glands, involves lymphoid tissue in almost all cases and causes 90% of patients to have abnormal chest Xrays?
Sarcoidosis
Skin lesions caused by sarcoidosis that are chronic, purple and indurated on the head and neck are called what?
Lupus pernio
What are scattered, nonspecific, tender, red nodules on lower legs called in sarcoidosis?
Erythema nodosum
What two syndromes are linked to sarcoidosis?
- Lofgren’s syndrome and 2. Heerfordt’s syndrome
What are the three symptoms of Lofgren’s syndrome?
- Erythema nodosum, 2. Bilateral hilar lymphadenopathy and 3. Arthralgia
What are the four symptoms of Heerfordt’s syndrome?
- Parotid enlargement, 2. inflammation of the eyes, 3. facial paralysis and 4. fever
Granulomatous inflammation (non-casiating), Schaumann bodies (degenerated lysosomes), Asteroid bodies (entrapped collage fragments) and Hamazaki-Wesenberg bodies (large lysosomes) are all histological features of what disease?
Sarcoidosis
What disease cause the labial tissues to swell persistently in a nontender fashion?
Orofacial Granulomatosis
Should the lips only swell, what is that called?
Cheilitis granulomatosa
What disease is marked by cheilitis granulomatosa, facial paralysis and fissured tongue?
Melkersson-Rosenthal syndrome (note that other diseases that cause granulomatous inflammation first need to be ruled out)
What disease has the symptoms of necrotizing granulomatous lesions of the respiratory tract, necrotizing glomerulonephritis and systemic vasculitis of small arteries and veins?
Wegener’s Granulomatosis
What other two types of Wegener’s granulomatous exist?
- Limited Wegener’s granulomatosis (upper respiratory tract, no renal lesions) and 2. Superficial Wegener’s granumatosis (lesions occur primarily on the skin and mucosa)
What is the key symptom to watch out for that is indicative of Wegener’s granulomatosis?
Strawberry gingivitis
What is the name of the oral condition associated with allergies to cinnamon?
Contact Stomatitis from Cinnamon
What are the two names given to diffuse edematous swelling of the soft tissues that has no pain and may have erythema?
- Angioedema or 2. Quincke’s disease
What is the treatment for angioedema?
Oral antihistamine therapy (IM epinephrine/IV corticosteroids in severe cases) - note that this condition typically resolves in 1-2 days
What type of medicine can cause angioedema?
Angiotensin-converting enzyme (ACE) inhibitors
