Podcast
Questions and Answers
What percentage of patients typically exhibit mucosal lesions?
What percentage of patients typically exhibit mucosal lesions?
- Almost all (correct)
- A small majority
- More than half
- A minority
Where may mucosal lesions first appear?
Where may mucosal lesions first appear?
- Eyes
- Mouth (correct)
- Skin
- Ears
What role do mucosal lesions play in patient symptoms?
What role do mucosal lesions play in patient symptoms?
- They are a late-stage symptom
- They are never a presenting symptom
- They are always asymptomatic
- They are the only manifestation in some patients (correct)
What is the relationship between mucosal lesions and the underlying condition?
What is the relationship between mucosal lesions and the underlying condition?
What is the significance of mucosal lesions in patients?
What is the significance of mucosal lesions in patients?
What is the result of applying firm sliding pressure with a finger?
What is the result of applying firm sliding pressure with a finger?
What is the layer of skin that separates from the demis?
What is the layer of skin that separates from the demis?
What is the name of the sign that is positive when firm sliding pressure is applied?
What is the name of the sign that is positive when firm sliding pressure is applied?
What is the consequence of applying firm sliding pressure to the skin?
What is the consequence of applying firm sliding pressure to the skin?
What is the underlying structure that the epidermis separates from?
What is the underlying structure that the epidermis separates from?
What is the frequency of finding intact bullae in the mouth?
What is the frequency of finding intact bullae in the mouth?
What is typically observed in the mouth instead of intact bullae?
What is typically observed in the mouth instead of intact bullae?
Where are the erosions typically located in the mouth?
Where are the erosions typically located in the mouth?
What happens to the bullae as a result of the disease?
What happens to the bullae as a result of the disease?
What is characteristic of the erosions in the mouth?
What is characteristic of the erosions in the mouth?
What can be a challenge for diagnosis and treatment of mouth lesions?
What can be a challenge for diagnosis and treatment of mouth lesions?
What is a possible complication of the disease?
What is a possible complication of the disease?
What is the relationship between disease activity and morbidity/mortality?
What is the relationship between disease activity and morbidity/mortality?
What is the outcome of the erosions in terms of scarring?
What is the outcome of the erosions in terms of scarring?
What is the severity of the disease in terms of morbidity and mortality?
What is the severity of the disease in terms of morbidity and mortality?
What is a potential consequence of systemic steroid treatment?
What is a potential consequence of systemic steroid treatment?
Why is careful monitoring essential for patients treated with systemic steroids?
Why is careful monitoring essential for patients treated with systemic steroids?
What is a potential metabolic consequence of systemic steroid treatment?
What is a potential metabolic consequence of systemic steroid treatment?
What is the primary concern when treating patients with systemic steroids?
What is the primary concern when treating patients with systemic steroids?
What should clinicians do when treating patients with systemic steroids?
What should clinicians do when treating patients with systemic steroids?
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Study Notes
Mucosal Lesions in Patients
- Almost all patients exhibit mucosal lesions, which may be the presenting symptoms or the only manifestation of the disease.
- In the mouth, intact bullae are rare, but erosions are common, particularly on the buccal or palatal surfaces.
- These erosions are slow to heal and can be induced by firm sliding pressure with a finger, leading to separation of normal-looking epidermis from dermis, which is a positive Nikolysky's sign.
- The bullae typically rupture, resulting in erosions that heal slowly with no scarring.
Complications of Treatment
- Patients treated with systemic steroids are at risk of developing various complications, including hypertension and glucose intolerance.
- Close monitoring of patients is necessary to mitigate these risks.
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