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Diagnostics > Red-white lesions AND Red lesions > Flashcards

Red-white lesions AND Red lesions Flashcards

1
Q

May be traumatic or non-traumatic (bleeding disorders)

Does not blanch upon pressure

A

extravascular submucosal hemorrhage

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2
Q

name kinds of INTRAVASCULAR Blood Related RED LESIONS

A

all are considered INTRAVASCULAR submucosal hemorrhage:

  1. varices or varicosities
  2. hemangioma
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3
Q 
Unknown etiology
2:1 female to male
associated with fissured tongue
dorsum of tongue
yellow-white scalloped or serpentine border, well defined erythematous zones at tip and lateral tongue

atrophy of filiform papillae, leaves fungiform intact

A

Erythema Migrans

Or

Geographic tongue

Or

Benign migratory glossitis

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4
Q

name kinds of Extravascular Blood Related RED LESIONS

A

all are considered “extravascular” submucosal hemorrhage:

  1. petechia
  2. Purpura
  3. ecchymosis
  4. hematoma
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5
Q

Does not blanch on pressure
>2cm; larger than purpuras
Macules

A

ecchymosis

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6
Q

Multiple, blue purple, elevated or papular blebs

Ventrolateral tongue, lips, buccal mucosa

A

varices/varicosities

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7
Q

Usually single lesions
Thrill or bruit may be detected
May be nodules (superficial)
Deep lesion - slightly raised or macules

A

hemangioma

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8
Q

an area of extravasated blood usually >1 cm in diameter. They range in color from red-purple (i.e., early) to blue-green-brown (i.e., days later).

A

hematoma

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9
Q

Pinpoint, non-raised, circular red spots
Does not blanch on pressure
Soft palate
Macules

A

petechia

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10
Q

Blanches on pressure
Color varies: red, purple, blue or black
Traumatic lesions usually on labial or buccal mucosa
May be due to blunt trauma or cheek biting
Resolve spontaneously
Treated if related to systemic disease

A

Intravascular submucosal hemorrhage

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11
Q

Colloid or civatte bodies (degenerating keratinocytes)

at epithelial CT interface

A

erosive lichen planus

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12
Q

Usually bilateral buccal mucosa & tongue
If confined to gingiva
—>desquamative gingivitis (DD: mucous membrane pemphigoid, pemphigus vulgaris)

If disease severe, then epithelial separation clinically presenting as bullous LP

A

erosive lichen planus

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13
Q 
Vascular malformations since birth 
Usually children, 5-10% of 1 year olds
60% of all cases occur in HN region 
Females > males, 3:1
May be associated with genetic syndromes
A

hemangioma

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14
Q

Does not blanch on pressure
slightly larger area than petechia
macules

A

purpura

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15
Q

characteristic of this lesion:

Port wine stains - pink or purple macular lesions on face; may darken and become nodular

A

hemangioma

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16
Q

TREATMENT for Erythema Migrans /Geographic tongue/Benign migratory glossitis

A

no treatment unless symptomatic (treated with topical steroids)

17
Q

mass of blood in tissues
due to blunt trauma
common bruise

A

hematoma

18
Q

Irregular red (erythematous) borders, atrophic areas with central ulceration (will bleed). Peripheral radiating striate; epithelium atrophic or hyperplastic; destruction of basal layer, SAW TOOTH RIDGES

A

erosive lichen planus

19
Q

viral infection, scarlet fever, leukemia, platelet, or coagulation disorders

May occur due to rupture of palatal capillaries due to coughing, sneezing, vomiting

A

palatal petechia

20
Q

rank from smallest to largest: extravascular submucosal hemorrhage MACULES

A

smallest to largest:

  1. petechia
  2. Purpura
  3. ecchymosis (>2cm)
21
Q

Dilated/tortuous veins
Blanches
Age related
Sublingual “version” occurs in 66%, >60 years old

A

varices or varicosities

22
Q

less common form of LP, more frequently seen in office due to symptoms, occurs if the surface epithelium is completely lost and erosion results.
Intermittently painful and may develop rapidly.
Autoimmune

A

erosive lichen planus

23
Q

Benign tumors of blood vessels (endothelial cells) that proliferate; Tumor or hamartoma

A

hemangioma

24
Q

name kinds of RED LESIONS

A

angular chelitis
candidiasis
denture stomatitis/chronic atrophic candidiasis

25
Q

Kinds of hemangioma

A

Capillary (consisting of small fine vessels),
juvenile,
cavernous (consisting of large thin-walled vascular spaces), etc.

26
Q

Atrophy of filiform papillae; leaves the fungiform papillae intact.
Appears then heals then develops elsewhere

A

Erythema Migrans

Or

Geographic tongue

Or

Benign migratory glossitis

27
Q

treatment for Erosive LP

A

topical steroids

28
Q

treatment for hemangioma

A
  1. watch (50% regress) or
  2. laser,
  3. sclerosing agents,
  4. steroids
29
Q

name red-white lesions

A

erythema migrans/geographic tongue/benign migratory glossitis

erosive lichen planus

Diagnostics (4 decks)

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