Pigmented Lesions Flashcards
Where in the mouth is the mucosa kertinized?
- Dorsum tongue
- Gingiva
- Hard palate
Example of pigmented lesions caused by infection:
Black Hairy Tongue - caused by Aspergillus Niger
Drugs and chemicals examples which can cause pigmentation
- Bismuth, Lead
- Tetracyclines
Tx for oral melanotic macule
Excisional biopsy to ensure does not progress or recur
7 causes of pigmentation associated with increased melanin production
- Ephelis
- Oral Melanotic macule
- Physiologic pigmentation
- Smokers melanosis
- Drugs/hormones
- Peutz-Jehers
- Addisons
Causes of pigmentation assocaited with an increase in melanocytes
- Melanocytic naevi
- Blue Naevus
- Malignant Melanoma
What is this?
Leukoedema
Variation of normal. No tx.
What is this?
white sponge Naevus.
No tx
What is this?
Nicotinic Stomatitis
What is this
Chronic Hyperplastic Candidosis
Needs prolonged polyene or systemic fluconazole
How long do oral lichen planus lesions last?
Can last many years
Management of geographic tongue:
- Mouthwash eg prednisolone oral liquid
- Zinc therapy
Infective agents associated with angular cheilitis
Candida Albicans or Staph Aureus
Which primary candida is associated with oral malignancy
Chronic hyperplastic candidosis
White lesion Differential diagnosis (9)
- White sponge nevus
- Frictional keratosis
- Chemical injury
- Candidosis
- Leukoedema
- Lichen planus/Lichenoid reaction
- Discoid lupus eythematosis
- Hairy leukoplakia
- Nicotinic stomatitis
Red lesion differential diagnosis (8)
- Desquamative gingivitis
- Erythematous lichen planus
- Erythematous candidosis
- Lupus
- Pemphigoid
- Hypersensitive reaction
- Haemangioma
- Kaposi Sarcoma
Condition which may cause oral lesions which may resemble leukoplakia, lichenoid, vesciculobullous or granulomatous
Lupus Erythematosis
What is Carcinoma In Situ
Top to bottom epithelial cytologic changes characteristic of malignancy but no CT invasion
