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Oral Med - Cinical Features & Diff Diag > White Patches > Flashcards

White Patches Flashcards

1
Q

Submucous Fibrosis

A

Irregular flat lesions within mouth

Marked fibrous bands that can be palpated in the cheeks and soft tissues

Loss of tissue elasticity

Limited opening of mouth

Prevelant in those from South-East Asia and India

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2
Q

Chemical Burn

A

White, friable, slough

Can be easily removed

Leaves bed of erythema and ulceration

Usually seen in buccal sulcus/alveolar attached gingivae

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2
Q

Reversed

Homogeneously White lesions which can affect any part of the mouth, but most commonly:

lips, lateral borders of tongue, buccal mucosa at occlusal line.

A

Frictional Keratosis

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3
Q

Reversed

Tiny Yellow pustules measuring 2-3mm

These may evolve to larger vegetating paillary lesions of friable mucsa

Affects males more than females

Buccal or Labial Mucosa

A

Pyostomatitis Vegetans

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4
Q

Leukoplakia

A

Range of appearances from flat white patches to mixed red/white patches

Cannot be rubbed off

Commonly found at:

Tongue

Lower lip

Retromolar region

Floor of mouth - highest rate of malignancy transformation

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4
Q

Skin Graft

A

White wrinkled area within mouth

transition between area and mucosa is abruptly defined

Hair may be present

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5
Q

Reversed

Mucosal erosions

**Areas of, potentially malignant, leukoplakia **

Rapidly progressing periodontal disease

**Reticulated skin hyperpigmentation of skin of upper chest **

30% of leukoplakia lesions become malignant.

A

Dyskeratosis Congenita

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6
Q

Pseudomembranous Candidosis

(Thrush Candidiasis)

A

Soft creamy-yellow patches

Affects large areas, especially junction of Hard and Soft palate

Patches can be wiped off to reveal erythmatous mucosa

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6
Q

Reversed

Slowly enlarging swelling

Inflammatory changes in overlying musoca

Pt may complain of difficulty swallowing if in tongue

May resemble Median Rhomboid Glossitis

A

Cartilagenous Choristoma

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7
Q

Reversed

White, friable, slough

Can be easily removed

Leaves bed of erythema and ulceration

Usually seen in buccal sulcus/alveolar attached gingivae

A

Chemical Burn

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8
Q

Reversed

White patches or striae that may affect any oral site

**Solitary **

Asymmetrical

May involve palate

Diff Diag:

Lichen Planus

A

Lichenoid Reaction

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9
Q

Lichenoid Reaction

A

White patches or striae that may affect any oral site

**Solitary **

Asymmetrical

May involve palate

Diff Diag:

Lichen Planus

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9
Q

Reversed

Usually found in Hard Palate

Predominantly white area

Puncate red dots (inflammed minor salivary gland duct orifices)

Denture can protect, highlighting difference between affected and non-affected area.

A

Nicotinic Stomatitis

(Smoker’s Keratosis)

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10
Q

Reversed

Irregular flat lesions within mouth

Marked fibrous bands that can be palpated in the cheeks and soft tissues

Loss of tissue elasticity

Limited opening of mouth

Prevelant in those from South-East Asia and India

A

Submucous Fibrosis

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11
Q

Nicotinic Stomatitis

(Smoker’s Keratosis)

A

Usually found in Hard Palate

Predominantly white area

Puncate red dots (inflammed minor salivary gland duct orifices)

Denture can protect, highlighting difference between affected and non-affected area.

How well did you know this?
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12
Q

Pyostomatitis Vegetans

A

Tiny Yellow pustules measuring 2-3mm

These may evolve to larger vegetating paillary lesions of friable mucsa

Affects males more than females

Buccal or Labial Mucosa

14
Q

Hairy Leukoplakia

A

Well demarcated

Corrugated white lesion

Occurs on lateral border of tongue

No symptoms

15
Q

Reversed

Soft creamy-yellow patches

Affects large areas, especially junction of Hard and Soft palate

Patches can be wiped off to reveal erythmatous mucosa

A

Pseudomembranous Candidosis

(Thrush Candidiasis)

15
Q

Reversed

Range of appearances from flat white patches to mixed red/white patches

Cannot be rubbed off

Commonly found at:

Tongue

Lower lip

Retromolar region

Floor of mouth - highest rate of malignancy transformation

A

Leukoplakia

17
Q

Dyskeratosis Congenita

A

Mucosal erosions

**Areas of, potentially malignant, leukoplakia **

Rapidly progressing periodontal disease

**Reticulated skin hyperpigmentation of skin of upper chest **

30% of leukoplakia lesions become malignant.

19
Q

Reversed

White patches or striae which may affect any oral site

symmetrical and bilateral

There are 6 forms:

Reticular, papular, plaque-like, atrophic, erosive and bullous

Purple, pruritic papules may develop on flexor surfaces

Diff Diag:

Lichenoid Reaction

A

Lichen Planus

20
Q

Lichen Planus

A

White patches or striae which may affect any oral site

symmetrical and bilateral

There are 6 forms:

Reticular, papular, plaque-like, atrophic, erosive and bullous

Purple, pruritic papules may develop on flexor surfaces

Diff Diag:

Lichenoid Reaction

21
Q

Lupus Erythematosus

A

Discrete, raised, erythmatous, scaly patches and plaques on syn exposed skin

Localized striated, keratotic and erythmatous patches inta-orally

Butterfly Rash on skin of Malar process.

Xerostomia & 2ndary Sjogren’s Syndrome

Diff Diag:

Lichen Planus, Lichenoid Reaction

22
Q

Reversed

Discrete, raised, erythmatous, scaly patches and plaques on syn exposed skin

Localized striated, keratotic and erythmatous patches inta-orally

Butterfly Rash on skin of Malar process.

Xerostomia & 2ndary Sjogren’s Syndrome

Diff Diag:

Lichen Planus, Lichenoid Reaction

A

Lupus Erythematosus

23
Q

White Spongue Nevus

A

Asymptomatic

Deeply folded white lesions at several sites

Buccal mucosa commonly affected

Other sites may include: Vagina, vulva, anus, esophagus

24
Q

Reversed

Painless, firm White Patch

Does not wipe off

Variety of presentations

Most commonly found at tongue, floor of the mouth, retromolar region and vermillion border of lower lip (increased exposure to sun)

A

Squamous Cell Carcinoma

26
Q

Chronic Hyperplastic Candidosis

(Candidal Leuokoplakia)

A

Thickened, Irregular or Smooth White patches

Usually at commissures of the mouth

Can also be found on dorsum of the tongue

White plaque do NOT rub off

May occur in mucocutaneous syndrome

27
Q

Squamous Cell Carcinoma

A

Painless, firm White Patch

Does not wipe off

Variety of presentations

Most commonly found at tongue, floor of the mouth, retromolar region and vermillion border of lower lip (increased exposure to sun)

28
Q

Cartilagenous Choristoma

A

Slowly enlarging swelling

Inflammatory changes in overlying musoca

Pt may complain of difficulty swallowing if in tongue

May resemble Median Rhomboid Glossitis

29
Q

Reversed

Asymptomatic

Deeply folded white lesions at several sites

Buccal mucosa commonly affected

Other sites may include: Vagina, vulva, anus, esophagus

A

White Spongue Nevus

30
Q

Reversed

Thickened, Irregular or Smooth White patches

Usually at commissures of the mouth

Can also be found on dorsum of the tongue

White plaque do NOT rub off

May occur in mucocutaneous syndrome

A

Chronic Hyperplastic Candidosis

(Candidal Leuokoplakia)

31
Q

Frictional Keratosis

A

Homogeneously White lesions which can affect any part of the mouth, but most commonly:

lips, lateral borders of tongue, buccal mucosa at occlusal line.

33
Q

Reversed

White wrinkled area within mouth

transition between area and mucosa is abruptly defined

Hair may be present

A

Skin Graft

34
Q

Reversed

Well demarcated

Corrugated white lesion

Occurs on lateral border of tongue

No symptoms

A

Hairy Leukoplakia

Oral Med - Cinical Features & Diff Diag (3 decks)

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