Chapter 032. Oral Manifestations of Disease (Part 5)

Dermatologic Diseases See Tables 32-1, 32-2, and 32-3 and Chaps. 52, 53, 54, 55, and 56.Table 32-3 White Lesions of Oral MucosaConditionUsual LocationClinical FeaturesCourseLichen planusBuccalStriae,whiteProtracted;mucosa, tongue, plaques, red areas, ulcers responds to topicalgingiva, lips; skinand inmouth;purplish glucocorticoidspapules on skin; may be asymptomatic, sore, or painful; lichenoid drug reactions similar may lookWhite sponge nevusOralPainlesswhiteBenign andmucosa, vagina, thickening of epithelium; permanent anal mucosa adolescent/early onset; familial adultSmokers leukoplakiaAny areaWhite patch thatMay or mayand of oral mucosa, may become firm, rough, not resolve with or red-fissured and cessation of habit....
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Chapter 032. Oral Manifestations of Disease (Part 5) Chapter 032. Oral Manifestations of Disease (Part 5) Dermatologic Diseases See Tables 32-1, 32-2, and 32-3 and Chaps. 52, 53, 54, 55, and 56. Table 32-3 White Lesions of Oral Mucosa Condition Usual Clinical Features Course Location Lichen Buccal Striae, white Protracted;planus mucosa, tongue, plaques, red areas, ulcers responds to topical gingiva, and in mouth; purplish glucocorticoids lips; skin papules on skin; may be asymptomatic, sore, or painful; lichenoid drug reactions may look similar White Oral Painless white Benign andsponge nevus mucosa, vagina, thickening of epithelium; permanent anal mucosa adolescent/early adult onset; familial Smokers Any area White patch that May or mayleukoplakia and of oral mucosa, may become firm, rough, not resolve withsmokeless tobacco sometimes or red-fissured and cessation of habit;lesions related to ulcerated; may become 2% develop location of habit sore and painful but squamous cell usually painless carcinoma; early biopsy essential Erythroplaki Floor of Velvety, reddish High risk ofa with or without mouth common plaque; occasionally squamous cellwhite patches in men; tongue mixed with white patches cancer; early and buccal or smooth red areas biopsy essential mucosa in women Candidiasis Any area Pseudomembrano Responds in mouth us type (thrush): favorably to creamy white curdlike antifungal therapy patches that reveal a raw, and correction of bleeding surface when predisposing scraped; found in sick causes where infants, debilitated possible elderly patients receiving high doses of glucocorticoids or broad- spectrum antibiotics, or in patients with AIDS Erythematous Course type: flat, red, sometimes same as for sore areas in same groups pseudomembranou of patients s type Candidal Responds leukoplakia: to prolonged nonremovable white antifungal therapy thickening of epithelium due to Candida Angular cheilitis: Responds sore fissures at corner of to topical mouth antifungal therapy Hairy Usually White areas Due toleukoplakia lateral tongue, ranging from small and EBV; responds to rarely elsewhere flat to extensive high dose on oral mucosa accentuation of vertical acyclovir but folds; found in HIV recurs; rarely carriers in all risk groups causes ...