White Lesions

Question 1

What are the characteristics of White Sponge Nevus? AKA?

Answer 1

• Genetic
• Abnormal keratin production
• Presents as multiple white rough surface lesions

AKA= Familial Epithelial Hyperplasia.

Question 2

What is frictional keratosis?

Answer 2

White lesion related to chronic rubbing or friction.

Question 3

What is hairy tongue? Treatment?

Answer 3

-Elongation of filiform papillae by keratin. -Treatment is to scrape/brush tongue

Question 4

What is Hairy Leukoplakia? Characteristics?

Answer 4

-Epi thickening of lateral surfaces of tongue. -Always BILATERAL -Presents in immunocompromised patients.

Question 5

What is leukoedema? Characteristics?

Answer 5

-White, opalescent, filmy surface that doesn’t rub off. -Disappears when you push on it.

Question 6

What is erythema migrans? AKA? Characteristics? Treatment?

Answer 6

-Benign migratory glossitis caused by atrophy of filiform papillae with elevated white border. -moves around. -Occasionally causes burning. -Topical steroids -AKA= Geographic tongue

Question 7

What is lichen planus? what are the two manifestations?

Answer 7

Multifocal lesions on buccal mucosa due to oversensitive reaction of T lymphocytes. 1. Reticular pattern: Have Wickhams stria. 2.Erosive pattern: Centeral ulceration with areas of pseudomembrane.

Question 8

What is lichenoid mucositis?

Answer 8

A lichenoid lesions caused by reaction to medication, flavorings, Graft vs Host disease.

Question 9

What is nicotinic stomatisis?

Answer 9

Hard palate hyperkeratinization due to heat from smoke.

Question 10

What is linea alba?

Answer 10

-Alteration to buccal mucosa from pressure, irritation, or sucking trauma.

Question 11

What is Morsicatio Buccarum?

Answer 11

Chronic chewing of tissue in mouth.

Question 12

What is leukoplakia? Microscopic diagnosis will be on of 4 things?

Answer 12

Generalized white patch or plaque that can’t be characterized clinically. 1. Hyperkeratosis 2. Epi dysplasia 3. Carcinoma in situ 4. Squamous cell carcinoma

Question 13

What is pseudomembranous candidosis? Characteristics

Answer 13

-Fungal oral infection by candida albicans. -White plaques that rub off leaving a red base.

Question 14

What is dentifrice-associated slough? Characteristics?

Answer 14

-Painless, grayish-white gleatinous membranes in mouth. -Associated with Sodium Lauryl sulfate found in toothpastes and rinses.

Question 15

What are congenital cysts? Types?

Answer 15

Cysts at birth 1. Epstein’s pearls: Palatal shelves fusing at midline entrap small islands of epi 2. Bohn’s nodules: epithelial remanants from minor salivary glands.

Question 16

What are fordyce granules?

Answer 16

Ectopic sebacous glands presenting at yellow, granular plaques and nodules.

Question 17

Answer 17

White Sponge Nevus

Question 18

Answer 18

Frictional Keratosis

Question 19

Answer 19

Hairy Leukoplakia

Question 20

Answer 20

Leukoedema

Question 21

Answer 21

Erythema Migrans

Question 22

Answer 22

Reticular Lichen Planus

Question 23

Answer 23

Erosive Lichen Planus

Question 24

Answer 24

Lichenoid Mucositis

Question 25

Answer 25

Nicotinic Stomatitis

Question 26

Answer 26

Linea Alba

Question 27

Answer 27

Morsicatio Buccarum