Red and Blue Lesions

Question 1

Reasons that lesions appear red

Answer 1

Dilation of blood vessels
Increase blood supply
Hemorrhage soft tissues
Thin epithelium
Epithelial erosion

Question 2

Diascopy positive lesions

Answer 2

Hemangioma
Sturge-Weber syndrome
Hereditary hemorrhagic telamgiectasia
CREST syndrome

Question 3

Diascopy negative lesions

Answer 3

Sub mucosal hemorrhage
Thrombocytopenia
Infectious mononucleosis

Question 4

Another name for congenital hemangioma

Answer 4

Strawberry nevus

Question 5

Causes hemangioma versus vascular malformation

Answer 5

He

Question 6

What is the appearance of hemangioma of bone

Answer 6

Multi

Question 7

Pathogenesis of hemangioma

Answer 7

abnormal endothelial cells

Question 8

Pathogenesis of vascular formations

Answer 8

abnormal blood vessel development

Question 9

T/F hemangioma has a bruit present with it

Answer 9

FALSE

Question 10

T/F hemangiomas do not involute spontaneously

Answer 10

FALSE

Question 11

Describe how hemangioma of bone would look

Answer 11

Multilocular, sunburst pattern
Delicate trabeculae
Root resorption
Cortical expansion

Question 12

What areas of the body are affected by Sturge-Weber?

Answer 12

The brain, face, and intraorally

Question 13

What nerve us affected by Sturge-Weber

Answer 13

Trigeminal nerve with facial lesions along the nerve

Usually UNILATERAL

Question 14

Neurological effects of S-W Syndrome

Answer 14

Mental retardation, hemiparesis, and seizures

Intracranial calcification of leptomeningies

Question 15

Intral oral lesions of S-W Syndrome

Answer 15

Very red

Ipsilateral oral mucosa involvement

Question 16

Cause of Hereditary Hemorrhagic Telangiectasia (HHT)

Answer 16

Abnormal dilation of terminal vessels

Question 17

Presentation of HHT

Answer 17

Intranasal EPITAXIS

Telangiectasa of vermillion, tongue, and buccal mucosa

Question 18

What are varix?

Answer 18

Abnormally dilated veins

Question 19

Where are varicosities multiple and solitary?

Answer 19

Multiple: ventral and lateral tongue
Solitary: vermilion and bucal mucosa

Question 20

Etiology of angina bullosa hemorrhagica

Answer 20

Trauma

Not immunologically related

Question 21

Pathogenesis of pyogenic granuloma

Answer 21

Reactive hyperplasia of vascularized granulation tissue

Question 22

Clinical presentation of pyogenic granuloma

Answer 22

Usually solitary, circumscribed red nodule

Question 23

Usual populations with Pyo. G

Answer 23

Women
During pregnancy
During hormonal changes (puburty)

Question 24

Locations of pyogenic granuloma

Answer 24

Gingiva
Tongue
Labial mucosa

Question 25

DD of PG

Answer 25

The "P's" Peripheral giant cell granuloma Peripheral ossifying fibroma Metestatic tumors

Question 26

Tx of PG

Answer 26

Remove the cause (local plaque or calculus) Surgical excision Occasionally lesions recur

Question 27

Cause of Periph. GCG

Answer 27

Trauma or irritation

Question 28

Location of Periph. GCG

Answer 28

Gingiva anterior to the first molar. Exclusively on the gingiva

Question 29

How are PyoG and Periph GCG differentiated

Answer 29

The presence of giant cells on PGCG

Question 30

How would an erythroplakia look intraorally and who would it be on?

Answer 30

``` Well-defined macule or plaque on the floor of mouth, tongue or soft palate Older men (50-70) usually have it ```

Question 31

DD of erythroplakia

Answer 31

Nonspecific mucositis Candidiasis Vascular lesion

Question 32

Histopathology of erythroplakia

Answer 32

40% will show sever dysplasia | 50% will be SCC

Question 33

Tx of erythroplakia

Answer 33

Biopsy to confirm it. Excise it. Long term follow up

Question 34

Name one type of intravascular neoplasm

Answer 34

Kaposi's sarcoma

Question 35

Tx of KS

Answer 35

Surgical excision, low-dose radiation

Question 36

DD of KS

Answer 36

Erythroplakia Hemangioma Melanoma Pyogenic granuloma

Question 37

Type of Anemias

Answer 37

Plummer-Vinson syndrome | Pernicious anemia

Question 38

Plummer-Vinson syndrome cause

Answer 38

Iron deficiency

Question 39

Plummer-Vinson syndrome effects

Answer 39

Dysphagia Erythema and papillary atrophy Angular cheilitis BALD TONGUE

Question 40

Perniciious anema cause

Answer 40

Intrinsic factor and Vitamin B12 deficiency