Oral Ulceration

Question 1

Main causes of mouth ulcers (5)

Answer 1

1. Systemic disease
2. Malignant neoplasms
3. Local causes
4. Apthae
5. Drugs

Question 2

Apthous ulcers are also called:

Answer 2

Canker sores. Not contagious.

Question 3

Types of apthous ulcers:

Answer 3

Minor (under 1cm)

Major (over 1cm)

Herpetiform

Question 4

Predisposing factors for apthous ulcers:

Answer 4

1. HLA association
2. Haematinic deficiency (Vit B12, Folate, Iron)
3. IBD, Coeliac
4. Drugs
5. Quit smoking
6. Stress
7. Trauma
8. Endocrine

Question 5

Tx for apthous ulcers:

Answer 5

Topical steroids

Question 6

List 3 blood disorders which may cause ulcers

Answer 6

• Anaemia
• Haematinic deficiency
• Leukaemia

Question 7

List 3 viral infections which may cause mouth ulcers

Answer 7

1. VZV (Chicken Pox, Shingles)
2. Coxsackie Virus (Hand, foot, mouth)
3. HSV (Herpetic Stomatitis)

Question 8

List 3 bacterial infections which may cause mouth ulcers

Answer 8

• Tuberculosis
• Syphilis
• ANUG

Question 9

List 3 GI conditions which may cause mouth ulcers

Answer 9

• Celiac
• Crohns
• Ulcerative Colitis

Question 10

List 4 skin conditions which may cause mouth ulcers

Answer 10

• Erythema Multiforme
• Pemphigus Vulgaris
• Mucous Membrane Pemphigoid
• Lichen Planus

Question 11

What is this?

Answer 11

Traumatic Ulcerative Eosinophilic Granuloma with Stroma Eosinophilia

(benign but delayed healing, simple surgical excision best tx)

Question 12

What is this?

Answer 12

Necrotizing Sialometaplasia

Question 13

Mangemtn of Necrotizing Sialametaplasia:

Answer 13

Self limiting condition.

Mouthwash and will heal in 6-10 weeks