Red Lesions-Dr. Flores

Question 1

Erythroplakia

Answer 1

• Clinical term
• any erythematous (red) area on a mucous membrane
• not due to any other pathology

Question 2

Erythematous Candidiasis

Answer 2

• seen in patients w/xerostomia (dry mouth) due to any reason
  
  • pharmacologic
  • post-radiatino therapy
  • sjogren
• Can be seen as Acute atrophic candidiasis
  
  • aka antibiotic sore mouth
  • follows broad-spectrum antibiotics
• c/o hot bevarge burned mouth

Question 3

Median Rhomboid Glossitis

Answer 3

• aka Central Papillary Atrophy
• Affects midling, posterior doral tongue
• Burning sensation w/diffuse loss of filiform papillae of doral tongue
  
  • symmetrical lesion
  • “bald” appearance of tongue
• Resolves w/antifungal

Question 4

Angular Cheilitis

Answer 4

• Angles of mouth
• usually older peoople w/reduced vertical dimension of occlusionand accentuated folds at corner of mouth
  
  • saliva pools in these areas

Question 5

Denture Stomatitis

Answer 5

• aka chronic atrophic candidiasis
• localized to maxillary denture-bearing areas
• Patient admits to wearing denture continuously

Question 6

Treatment of Candidiasis

Answer 6

• Rule out allergy to denture base, inadequate curing of denture acrylic, or ill fit
• avoid or reduce smoking
• Tx any local predisposing cause
  
  • Xerostomia
• Improve oral hygiene
• Antifungals
  
  • Nystatin
  • Clotrimazole

Question 7

Red nodular lesions in gingiva

Answer 7

3 P’s

• Pyogenic Granuloma
• Peripheral Giant Cell Granuloma
• Peripheral ossifying Fibroma

Question 8

Pyogenic Granuloma

Answer 8

• Reactive process
• smooth lobulated mass/ulcer
• may grow fast causing alarm
• Most common
  
  • on Gingiva
  • in children and young adults

Question 9

Pyogenic Granulation Variants

Answer 9

• Granuloma Gravidarum
  
  • pyogenic granuloma of pregnancy
• Epulis Granulomatosum
  
  • socket of recently extracted teeth

Question 10

Peripheral Giant Cell Granuloma

Answer 10

• Not a true granuloma
• reactive lesion-local irritation
• Location:
  
  • ONLY gingiva or edentulouos alveolar ridge
    
    • develop anterior or posterior
• Similar appearance to pyogenic granuloma
  
  • red-blue
• Sometimes see “cupping” resorption of alveolar bone

Question 11

Peripheral Ossifying Fibroma

Answer 11

• Reactive gingival growth
• ONLY GINGIVA
• Histology:
  
  • Fibrous proliferation w/mineral commponennt
  • sometime giant cells

Question 12

Localized Juvenile Spongiotic Gingival Hyperplasia

Answer 12

• aka Localized Juvenile Spongiotic Gingivitis
• Idiopathic
  
  • altered by local factors
• Mostly anterior maxilla
  
  • <20 y.o.
• Papillary epithelial hyperplasia
  
  • red and easily bleeding

Question 13

Plasma Cell Gingivitis

Answer 13

• aka Atypical Gingivostomatitis
• Hypersensiitivity rxn to:
  
  • chewing gum
  • herbal toothpaste
  • mint candy
  • peppers
• Rapid onset of sore mouth
  
  • made worses by dentifrices and hot or spicy food
• Free and attached gingiva
  
  • diffuse enlargement w/bright erythema
  • loss of normal stippling
• Remove underlying cause

Question 14

Petechia

Answer 14

• minute red or purple spot
• contains blood that appears in skin or mucous membrane due to localized hemorrhage

Question 15

ECcchymoses

Answer 15

• Escape of blood into surrounding tissues from ruptures blood vessels
• discolored skin or mucosa due to blood underneath
• Caused by bruising

Question 16

Hemangioma

Answer 16

• most common tumor of infancy
• Females, caucasians
• Location-head and neck
• single lesions=80%
• 1st week of life=tumor develops faster than infants overall growth