White Lesions: Other White Lesions

Question 1

Other White Lesions

Answer 1

a. Geographic Tongue
b. Lichen Planus
c. Lupus Erythematosus

Question 2

also known as erythema migrans and benign migratory glossitis

Answer 2

Geographic Tongue

Question 3

more prevalent in the young, in nonsmokers, and in allergic or atopic individuals

Answer 3

Geographic Tongue

Question 4

Appears as red atrophic patches surrounded by hyperkeratotic (white) margins

Dorsum and lateral surfaces of tongue usually affected; rarely other mucosal sites

Answer 4

Geographic Tongue

Question 5

strongly associated with fissured tongue, but it is inversely associated with cigarette smoking.

Answer 5

Geographic Tongue

Question 6

associated, coincidentally, with several different conditions, including
psoriasis, seborrheic dermatitis, Reiter’s syndrome, and atopy

Answer 6

Geographic Tongue

Question 7

Pattern changes with time (migratory glossitis)

Spontaneous regression/worsening

Usually asymptomatic, but may be slightly painful

Answer 7

Geographic Tongue

Question 8

Usually no treatment

When painful, baking soda rinses, antifungals, or topical corticosteroids may help.

Answer 8

Geographic Tongue

Question 9

It is a chronic mucocutaneous disease that is characterized by bilateral white lesions that is associated with ulcers

Answer 9

Lichen Planus

Question 10

The importance of this disease is related to its frequency of occurrence, its occasional similarity to other mucosal diseases, its occasionally painful and persistent nature, and its possible
relationship to squamous cell carcinoma.

Answer 10

Lichen Planus

Question 11

cause is unknown, though it is considered to be immunologically mediated process that resembles a hypersensitivity reaction

basal keratinocyte destruction by T cells

Answer 11

Lichen Planus

Question 12

Buccal mucosa is commonly affected specifically in the posterior and interior regions adjacent to the second and third molars.

This can also be characterized by white keratotic straie

Answer 12

Lichen Planus

Question 13

Treatment: Observation, topical and systemic corticosteroids, or other
immunosuppressive agents

Answer 13

Lichen Planus

Question 14

The most common type of Lichen planus is the __________, which is characterized by numerous interlacing white keratotic lines or striae so-called Wickham’s striae) that produce an annular or lacy pattern.

Answer 14

reticular form

Question 15

The _________ of lichen planus tends to resemble leukoplakia clinically but has a multifocal distribution.

Such plaques generally range from slightly elevated to smooth and flat.

The primary sites for this variant are the dorsum of
the tongue and the buccal mucosa.

Answer 15

plaque form

Question 16

The _____________ of lichen planus appears as red patches with very fine white striae. It may be
seen in conjunction with reticular or erosive variants.

Answer 16

erythematous or atrophic form

Question 17

In the ________ of lichen planus, the central area of the lesion is ulcerated. A fibrinous plaque or pseudomembrane covers the ulcer.

Answer 17

erosive form

Question 18

The disease is an auto-immune disease that involves both humoral and cell-mediated arms of the immune system

Answer 18

Lupus Erythematosus

Question 19

skin and mucosal lesions are relatively mild, and patients’ complaints are
dominated by multiple organ involvement

Answer 19

Systemic Lupus Erythematosus

Question 20

Ulceration, erythema, and keratosis may be seen.

In addition to the vermilion, the labial and buccal mucosa, gingiva, and palate are often involved.

Answer 20

Systemic Lupus Erythematosus

Question 21

On the skin, lesions appear as disc-shaped erythematous plaques with hyperpigmented margins.

Answer 21

Discoid Lupus Erythematosus

Question 22

has 2 distinct forms: Systemic Lupus Erythematosus and Discoid Lupus Erythematosus

Answer 22

Lupus Erythematosus

Question 23

Involvement of the skin results in an erythematous rash, classically seen over malar processes and the bridge of the nose

Answer 23

“butterfly” distribution usually associated with
SLE.

Question 24

topical corticosteroids, Systemic steroids such as prednisone may be combined with immunosuppressive agents for their therapeutic and steroid-sparing effects

Answer 24

Lupus Erythematosus