Aphthous Lesions and Hypersensitivity Reactions
60 Questions
11 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the common layman term for after lesions?

  • Mouth sores
  • Ulcer sores
  • Cold sores
  • Canker sores (correct)

    • What is the derived meaning of the term 'afters'?

  • Cold
  • Infection
  • Sore
  • Ulcer (correct)

    • What is the suspected cause of after lesions?

  • Viral infection
  • Fungal overgrowth
  • T cell mediated immunologic reaction (correct)
  • Bacterial infection

    • What is the role of TNF alpha in the pathogenesis of after lesions?

    <p>It is an inflammatory cytokine causing destruction of tissue</p> Signup and view all the answers

    What is the suspected genetic component in the development of after lesions?

    <p>Certain patients could be genetically predisposed</p> Signup and view all the answers

    What is the term 'afters' already indicative of?

    <p>It's an ulcerated lesion</p> Signup and view all the answers

    Which factor contributes to the development of aphthous ulcers?

    <p>Nutritional deficiencies</p> Signup and view all the answers

    What is a contributing factor to the development of minor aphthous ulcers?

    <p>Predominantly seen in children, teenagers, and young adults</p> Signup and view all the answers

    What is a clinical variant of aphthous ulcers?

    <p>Major lesions</p> Signup and view all the answers

    What can trigger aphthous ulcers?

    <p>Inflammatory bowel diseases</p> Signup and view all the answers

    What is the age range where patients often develop their first aphthous ulcers?

    <p>Before the age of 30</p> Signup and view all the answers

    How long does it take for minor aphthous ulcers to heal?

    <p>Within 7 to 10 days</p> Signup and view all the answers

    Where are minor aphthous ulcers likely to occur?

    <p>On movable, non-keratinized mucosa</p> Signup and view all the answers

    What is a common prodromal symptom experienced by patients before developing oral aphthous ulcers?

    <p>Burning, pain, and tingling in the affected area</p> Signup and view all the answers

    What is the typical size range of the ulcers associated with oral aphthous ulcers?

    <p>1mm to 5mm</p> Signup and view all the answers

    Where are major aphthous ulcers commonly found?

    <p>Labial mucosa, soft palate, and lower labial mucosa</p> Signup and view all the answers

    What is a challenging aspect of diagnosing major aphthous ulcers?

    <p>Excluding other conditions such as tuberculosis, fungal infections, or cyclic neutropenia ulcers</p> Signup and view all the answers

    What is a characteristic of herpetiform aphthous ulcers?

    <p>They present as clusters of ulcers in one location, followed by another crop in a different location</p> Signup and view all the answers

    Which of the following is a characteristic of oral ulcers in Behcet syndrome?

    <p>They resemble herpetiform lesions</p> Signup and view all the answers

    What is a common management approach for Behcet syndrome?

    <p>Topical anesthetics</p> Signup and view all the answers

    What is a known trigger for the ulcers in Behcet syndrome?

    <p>Dietary factors</p> Signup and view all the answers

    Which organ systems can be affected by Behcet syndrome?

    <p>Central nervous and renal systems</p> Signup and view all the answers

    What is the racial predilection of Behcet syndrome?

    <p>More common in black patients</p> Signup and view all the answers

    What is a common manifestation of ocular involvement in Behcet syndrome?

    <p>Uveitis and conjunctivitis</p> Signup and view all the answers

    What is the major triggering factor for most patients with erythema multiforme?

    <p>Herpes simplex virus infection</p> Signup and view all the answers

    Which oral lesions are typically involved in erythema multiforme?

    <p>Labial mucosa, vermilion, tongue, buccal mucosa, and soft palate</p> Signup and view all the answers

    What is the classic presentation of erythema multiforme?

    <p>Hemorrhagic crusting of the lips, covered with dried blood</p> Signup and view all the answers

    How long does erythema multiforme typically take to heal?

    <p>2 to 6 weeks</p> Signup and view all the answers

    What is crucial for the management of erythema multiforme?

    <p>Identifying the initiating factor, such as herpes infection or medications</p> Signup and view all the answers

    Which condition tends to affect younger patients compared to toxic epidermal necrolysis?

    <p>Stevens-Johnson syndrome</p> Signup and view all the answers

    What is the layman term for after lesions?

    <p>Canker sores</p> Signup and view all the answers

    What is the meaning of the term 'afters'?

    <p>It already means it's an ulcerated lesion</p> Signup and view all the answers

    What is the suspected cause of after lesions?

    <p>T cell mediated immunologic reaction with production of TNF alpha</p> Signup and view all the answers

    What is the common trigger for after lesions in some patients?

    <p>Chocolates</p> Signup and view all the answers

    What is the role of TNF alpha in the pathogenesis of after lesions?

    <p>It is an inflammatory cytokine causing destruction and ulceration</p> Signup and view all the answers

    What is the suspected component in the development of after lesions?

    <p>Genetic predisposition</p> Signup and view all the answers

    What is a contributing factor to the development of minor aphthous ulcers?

    <p>Trauma to the oral soft tissues</p> Signup and view all the answers

    What is a clinical variant of aphthous ulcers?

    <p>Herpetiform lesions</p> Signup and view all the answers

    Where are minor aphthous ulcers likely to occur?

    <p>On movable mucosa</p> Signup and view all the answers

    What is a characteristic of herpetiform aphthous ulcers?

    <p>Multiple small ulcers</p> Signup and view all the answers

    What is a common manifestation of ocular involvement in Behcet syndrome?

    <p>Keratitis</p> Signup and view all the answers

    What is a common trigger for aphthous ulcers?

    <p>Inflammatory bowel diseases</p> Signup and view all the answers

    What is a challenging aspect of diagnosing Behcet syndrome?

    <p>Identifying the exact trigger for the ulcers</p> Signup and view all the answers

    What is a known trigger for the ulcers in Behcet syndrome?

    <p>Environmental antigens</p> Signup and view all the answers

    What is a characteristic of herpetiform aphthous ulcers?

    <p>Heal in 7 to 10 days</p> Signup and view all the answers

    What is a common manifestation of ocular involvement in Behcet syndrome?

    <p>Uveitis</p> Signup and view all the answers

    What is the racial predilection of Behcet syndrome?

    <p>More common in black patients</p> Signup and view all the answers

    Where are minor aphthous ulcers likely to occur?

    <p>In the anterior part of the oral mucosa</p> Signup and view all the answers

    Which type of aphthous ulcers are exclusively located on movable, non-keratinized mucosa?

    <p>Minor aphthous ulcers</p> Signup and view all the answers

    What is the typical healing time for major aphthous ulcers?

    <p>2 to 6 weeks</p> Signup and view all the answers

    What is a rare variant of aphthous ulcers, mostly seen in adults, involving the movable mucosa with a female predominance?

    <p>Herpetiform aphthous ulcers</p> Signup and view all the answers

    Which condition is often required to be excluded when diagnosing major aphthous ulcers?

    <p>All of the above</p> Signup and view all the answers

    What is the size range of the ulcers associated with oral aphthous ulcers?

    <p>1mm to 5mm</p> Signup and view all the answers

    Where are oral aphthous ulcers unlikely to occur?

    <p>Hard palate</p> Signup and view all the answers

    Which of the following is a characteristic of the skin lesions in erythema multiforme?

    <p>Targeted or bullseye lesions with concentric circular erythematous rings</p> Signup and view all the answers

    What is the typical presentation of oral lesions in erythema multiforme?

    <p>Involvement of the labial mucosa, vermilion, tongue, buccal mucosa, and soft palate</p> Signup and view all the answers

    Which condition is more severe and involves more than 30% of the body surface?

    <p>Toxic epidermal necrolysis</p> Signup and view all the answers

    What is the classic presentation of erythema multiforme?

    <p>Hemorrhagic crusting of the lips, covered with dried blood</p> Signup and view all the answers

    What is the major triggering factor for most patients with erythema multiforme?

    <p>Herpes simplex virus infection</p> Signup and view all the answers

    What are the prodromal symptoms that patients with erythema multiforme may present with?

    <p>Headache, malaise, sore throat, and cough</p> Signup and view all the answers

    Study Notes

    Erythema Multiforme: Clinical Features, Diagnosis, and Management

    • Erythema multiforme is a blistering ulcerative micro cutaneous disease with uncertain pathogenesis, believed to be immunologically mediated.
    • The major triggering factor for most patients is herpes simplex virus infection.
    • Patients with erythema multiforme may present with prodromal symptoms such as headache, malaise, sore throat, and cough one week before the development of skin lesions.
    • Skin lesions are described as targeted or bullseye lesions, with concentric circular erythematous rings on the extremities or face.
    • Oral lesions typically involve the labial mucosa, vermilion, tongue, buccal mucosa, and soft palate, with sparing of the gingiva.
    • The classic presentation of erythema multiforme includes hemorrhagic crusting of the lips, covered with dried blood.
    • Erythema multiforme is a self-limiting condition that heals within 2 to 6 weeks and is managed with topical or systemic corticosteroids.
    • Intravenous rehydration may be necessary for patients with severe oral ulcers.
    • Identifying the initiating factor, such as herpes infection or medications, is crucial for management.
    • Toxic epidermal necrolysis and Stevens-Johnson syndrome are severe conditions with different pathogenesis from erythema multiforme, mainly triggered by medications.
    • Stevens-Johnson syndrome tends to affect younger patients, while toxic epidermal necrolysis affects older patients and is more severe, involving more than 30% of the body surface.
    • Patients with these conditions develop flu-like symptoms before the onset of skin lesions.

    Erythema Multiforme: Clinical Features, Diagnosis, and Management

    • Erythema multiforme is a blistering ulcerative micro cutaneous disease with uncertain pathogenesis, believed to be immunologically mediated.
    • The major triggering factor for most patients is herpes simplex virus infection.
    • Patients with erythema multiforme may present with prodromal symptoms such as headache, malaise, sore throat, and cough one week before the development of skin lesions.
    • Skin lesions are described as targeted or bullseye lesions, with concentric circular erythematous rings on the extremities or face.
    • Oral lesions typically involve the labial mucosa, vermilion, tongue, buccal mucosa, and soft palate, with sparing of the gingiva.
    • The classic presentation of erythema multiforme includes hemorrhagic crusting of the lips, covered with dried blood.
    • Erythema multiforme is a self-limiting condition that heals within 2 to 6 weeks and is managed with topical or systemic corticosteroids.
    • Intravenous rehydration may be necessary for patients with severe oral ulcers.
    • Identifying the initiating factor, such as herpes infection or medications, is crucial for management.
    • Toxic epidermal necrolysis and Stevens-Johnson syndrome are severe conditions with different pathogenesis from erythema multiforme, mainly triggered by medications.
    • Stevens-Johnson syndrome tends to affect younger patients, while toxic epidermal necrolysis affects older patients and is more severe, involving more than 30% of the body surface.
    • Patients with these conditions develop flu-like symptoms before the onset of skin lesions.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Recurrent After Stomatitis - PDF

    Description

    Test your knowledge of erythema multiforme with this quiz on the clinical features, diagnosis, and management of this blistering cutaneous disease. Explore its association with herpes simplex virus infection, characteristic skin and oral lesions, and the appropriate management strategies. Also, learn about the differences between erythema multiforme, toxic epidermal necrolysis, and Stevens-Johnson syndrome.

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser