White Lesions

Question 1

White Lesions

10

Answer 1

• Morsicatio
• White sponge nevus
• Linea alba
• Oral hairy leukoplakia
• Hairy tongue
• Lichen planus
• Nicotinic stomatitis
• Candidiasis
• Burn
• Scarlet fever

Question 2

Morsicatio

Due to

Occurs

Apperance

Answer 2

• Chronic mucosa chewing
  
  • Buccal- mosicatio buccarum
  • Labial- Morsicatio labiorum
  • Tongue- mosicatio linguarum
• White and rough tissue
• Above and below occlusal planes

Question 3

White sponge Nevus

Cause

Apperance

Answer 3

• Autosomal dominant, mutation of keratin production
• Multifocal
• Extensive thick, white folds of tissue, symmetrical
• velvety diffuse plaques in buccal mucosa
• No eye involvement

Question 4

Oral Hairy Leukoplakia

App

Common in

Caused by

Answer 4

• White rough patch on lateral border of tongue
• Seen in immunocompromised (HIV common)
• Caused by Epstein Barr Virus

Question 5

Lichen Planus

manifests on

demographic

2 types

Answer 5

• Manifests on skin or oral (multifocal)
• Middle aged women most often
• Skin: purple, polygonal, pruritic papules
• Reticular
  
  • Wickhams striae- white lacey, doesnt rub off
  • wax and wanes over months
  • more common, asymptomatic
• Erosive
  
  • Painful ulcerations all over mouth
  • central erosion w/ erythema
  • May see remnants of wickhams
  • Tx topical corticosteroids

Question 6

Candidiasis Classic

Answer 6

• Pseudomembranous (thrush)
• white patches rub off leaving red base
• Painful

Question 7

Candidosis Red variations

4

Answer 7

• Acute erythematous candidosis
• Chronic erythematous candidosis
• Denture stomatitis
• Median RHomboid glossitis

Question 8

Acute Erythematous candidosis

symptoms

tx

Answer 8

• Gen pain, burning
• broad spectrum AB

Question 9

Chronic erthematous candidiasis

Answer 9

• Common with dentures AKA denture stomatitis
• may be pain or asymptomatic

Question 10

Angular Chelitis

Occurs with

caused by

Answer 10

• Typically occurs with loss of vertical dimension of ocllusion
• 20% C albicans
• 60% C albicans and S aureus

Question 11

Median Rhomboid Glossitis

Location

May have

Answer 11

• Anterior to the circumvallate papilla
• Kissing lesion on palate may be present

Question 12

Chemical/Physical Burn

app

Answer 12

• coagulative necrosis of surface
• White pseudomembrane that rubs off with difficulty

Question 13

Scarlet Fever

caused by

app

Answer 13

• Group A Strep infection
• Strawberry tongue
  
  • Early: white strawberry coating with protruding hyperplastic fungiform paillae
  • 4-5 days- red