Podcast
Questions and Answers
Which characteristic differentiates plaque-type oral lichen planus (OLP) from homogeneous oral leukoplakia?
Which characteristic differentiates plaque-type oral lichen planus (OLP) from homogeneous oral leukoplakia?
- Existence of reticular or papular structures (correct)
- Surrounding erythematous zone
- Presence of a desquamative gingivitis
- Homogeneous red area surrounding the lesions
What is the primary clinical feature of ulcerative lesions in oral lichen planus?
What is the primary clinical feature of ulcerative lesions in oral lichen planus?
- Well-demarcated white plaques without inflammation
- Increased keratinization and sharp demarcation
- Fibrin-coated ulcers with surrounding erythema (correct)
- Smooth, red patches with no striae
In which form of oral lichen planus might striae frequently be seen at the periphery of lesions?
In which form of oral lichen planus might striae frequently be seen at the periphery of lesions?
- Plaque-type OLP only
- Discoid lupus erythematosus
- Erythematous (atrophic) OLP (correct)
- Ulcerative type OLP exclusively
Which disorder is characterized by easily detached epithelium due to Nikolsky’s phenomenon?
Which disorder is characterized by easily detached epithelium due to Nikolsky’s phenomenon?
What is the current approach to the management of oral lichen planus?
What is the current approach to the management of oral lichen planus?
What is the etiology of linea alba?
What is the etiology of linea alba?
Fordyce's granules are most commonly found in which population percentage?
Fordyce's granules are most commonly found in which population percentage?
Which condition is characterized by a bilateral faint white diffuse appearance on the buccal mucosa?
Which condition is characterized by a bilateral faint white diffuse appearance on the buccal mucosa?
Which of the following conditions does NOT require treatment?
Which of the following conditions does NOT require treatment?
Which of the following is a common cause of thermal burns in the oral cavity?
Which of the following is a common cause of thermal burns in the oral cavity?
Which of the following lesions is more common in men and generally appears at puberty?
Which of the following lesions is more common in men and generally appears at puberty?
What is the appearance of habitual cheek biting lesions?
What is the appearance of habitual cheek biting lesions?
Which of the following is a differential diagnosis for leukoplakia?
Which of the following is a differential diagnosis for leukoplakia?
What is the initial treatment recommended for reverse smokers with a lesion that does not disappear after 3-4 weeks?
What is the initial treatment recommended for reverse smokers with a lesion that does not disappear after 3-4 weeks?
Which of the following is NOT a clinical feature of traumatic keratosis?
Which of the following is NOT a clinical feature of traumatic keratosis?
What is the appropriate action if a traumatic keratosis lesion does not disappear after 2-3 weeks?
What is the appropriate action if a traumatic keratosis lesion does not disappear after 2-3 weeks?
Which condition has clinical features that include bilaterally symmetrical white spongy thick plaques?
Which condition has clinical features that include bilaterally symmetrical white spongy thick plaques?
What is the common treatment for denture sore mouth (DSM)?
What is the common treatment for denture sore mouth (DSM)?
In which demographic is white spongy nevus typically present?
In which demographic is white spongy nevus typically present?
Which of the following is considered a major differential diagnosis for papillary hyperplasia?
Which of the following is considered a major differential diagnosis for papillary hyperplasia?
What is the histological finding utilized to determine treatment for lesions in reverse smokers?
What is the histological finding utilized to determine treatment for lesions in reverse smokers?
What common treatment is suggested for radiation mucositis?
What common treatment is suggested for radiation mucositis?
Which of the following lesions is most closely associated with heavy tobacco smoking?
Which of the following lesions is most closely associated with heavy tobacco smoking?
What is a characteristic feature of Koplik’s spots?
What is a characteristic feature of Koplik’s spots?
Which demographic is most frequently affected by stomatitis nicotina palati?
Which demographic is most frequently affected by stomatitis nicotina palati?
How does reverse smoking impact the palatal mucosa compared to conventional smoking?
How does reverse smoking impact the palatal mucosa compared to conventional smoking?
What is the primary sign in the initial stages of stomatitis nicotina palati?
What is the primary sign in the initial stages of stomatitis nicotina palati?
Which of the following is NOT considered a differential diagnosis for Koplik’s spots?
Which of the following is NOT considered a differential diagnosis for Koplik’s spots?
What is a common characteristic of red lesions of the oral mucosa?
What is a common characteristic of red lesions of the oral mucosa?
Which of the following treatments is recommended for smokers with stomatitis nicotina palati?
Which of the following treatments is recommended for smokers with stomatitis nicotina palati?
Which of the following describes a papule?
Which of the following describes a papule?
Which condition is NOT classified as a keratotic white lesion?
Which condition is NOT classified as a keratotic white lesion?
What is one possible etiology of a white lesion in the oral mucosa?
What is one possible etiology of a white lesion in the oral mucosa?
Which term describes a localized area of disease or injury in the oral cavity?
Which term describes a localized area of disease or injury in the oral cavity?
Which of the following is NOT considered a non-keratotic white lesion?
Which of the following is NOT considered a non-keratotic white lesion?
Which type of oral candidiasis is characterized by a white pseudomembrane?
Which type of oral candidiasis is characterized by a white pseudomembrane?
Which of the following is a benign thickening of the stratum spinosum that may cause white lesions?
Which of the following is a benign thickening of the stratum spinosum that may cause white lesions?
What is a common characteristic of lesions caused by chemical burns?
What is a common characteristic of lesions caused by chemical burns?
Which treatment is recommended for chemical burns in the mouth?
Which treatment is recommended for chemical burns in the mouth?
Which condition is associated with uremic stomatitis in chronic renal failure patients?
Which condition is associated with uremic stomatitis in chronic renal failure patients?
What unique aspect characterizes the reticular form of Oral Lichen Planus (OLP)?
What unique aspect characterizes the reticular form of Oral Lichen Planus (OLP)?
Which of the following best describes the papular type of Oral Lichen Planus (OLP)?
Which of the following best describes the papular type of Oral Lichen Planus (OLP)?
Which lesion type is NOT part of the classification for oral lichenoid reactions?
Which lesion type is NOT part of the classification for oral lichenoid reactions?
What feature is NOT typically observed in lesions of oral lichen planus?
What feature is NOT typically observed in lesions of oral lichen planus?
What is a common treatment approach for secondary infections associated with chemical burns?
What is a common treatment approach for secondary infections associated with chemical burns?
Flashcards
What is a lesion?
What is a lesion?
A localized area of disease or injury in any organ or tissue of the body.
What is a papule?
What is a papule?
A well circumscribed, solid, raised lesion up to 1 cm in diameter.
What is a plaque?
What is a plaque?
A well circumscribed solid raised lesion more than 1 cm in diameter.
What is hyperkeratosis?
What is hyperkeratosis?
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What is acanthosis?
What is acanthosis?
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What causes white lesions from fluid buildup in the epithelium?
What causes white lesions from fluid buildup in the epithelium?
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What causes white lesions from necrosis of the oral epithelium?
What causes white lesions from necrosis of the oral epithelium?
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What causes the white appearance of oral candidiasis?
What causes the white appearance of oral candidiasis?
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Linea alba
Linea alba
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Fordyce's granules/spots
Fordyce's granules/spots
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Leukoedema
Leukoedema
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Habitual cheek/lip biting
Habitual cheek/lip biting
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Burns - thermal
Burns - thermal
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Red and white lesions with unknown or increased malignant potential
Red and white lesions with unknown or increased malignant potential
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Leukoplakia
Leukoplakia
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Erythroplakia
Erythroplakia
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Chemical Burn
Chemical Burn
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Chemical Burn Lesion Characteristics
Chemical Burn Lesion Characteristics
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Chemical Burn Lesion Response to Pressure
Chemical Burn Lesion Response to Pressure
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Erythema and Chemical Burns
Erythema and Chemical Burns
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Candidiasis (Oral Thrush)
Candidiasis (Oral Thrush)
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Uremic Stomatitis
Uremic Stomatitis
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Type I Uremic Stomatitis
Type I Uremic Stomatitis
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Type II Uremic Stomatitis
Type II Uremic Stomatitis
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Plaque-type Oral Lichen Planus
Plaque-type Oral Lichen Planus
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Erythematous (Atrophic) Oral Lichen Planus
Erythematous (Atrophic) Oral Lichen Planus
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Ulcerative Oral Lichen Planus
Ulcerative Oral Lichen Planus
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Discoid Lupus Erythematosus (DLE)
Discoid Lupus Erythematosus (DLE)
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What is Stomatitis Nicotina Palati?
What is Stomatitis Nicotina Palati?
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What is reverse smoking?
What is reverse smoking?
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What is uremic stomatitis?
What is uremic stomatitis?
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What is leukoedema?
What is leukoedema?
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What is type I uremic stomatitis?
What is type I uremic stomatitis?
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What is type II uremic stomatitis?
What is type II uremic stomatitis?
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What are Koplik's spots?
What are Koplik's spots?
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What is leukoplakia?
What is leukoplakia?
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Traumatic Keratosis
Traumatic Keratosis
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White Spongy Nevus
White Spongy Nevus
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Denture Sore Mouth (DSM)
Denture Sore Mouth (DSM)
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Papillary Hyperplasia (PH)
Papillary Hyperplasia (PH)
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Reverse Smoker's Lesion
Reverse Smoker's Lesion
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Treatment for Reverse Smoker's Lesion
Treatment for Reverse Smoker's Lesion
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Study Notes
Red and White Oral Lesions
- Oral mucosa can appear white due to various factors, including increased keratin production (hyperkeratosis), abnormal thickening of the stratum spinosum (acanthosis), fluid accumulation, toxic chemical exposure, or microbial infections (fungal pseudomembranes).
- Red lesions can result from epithelial atrophy (reduced epithelial cells) or increased vascularization.
Differential Diagnosis
- Various conditions can cause red and white variations in oral mucosa.
- These include common issues like linea alba, Fordyce granules, leukoedema, as well as more serious conditions potentially linked to cancer, including leukoplakia, erythroplakia, oral submucous fibrosis, lichen planus, and various types of candidiasis.
Oral Lesions and Conditions
- Oral Candidiasis: Different forms exist (acute pseudomembranous, acute atrophic, chronic atrophic, chronic hypertrophic)
- Keratotic White Lesions: Conditions like stomatitis nicotina palati (smokers' palate).
- Red and White Lesions with Possible Malignant Potential: Conditions like Leukoplakia, Erythroplakia, oral submucous fibrosis, including specific examples.
Specific Lesions
- Linea alba: White line on buccal mucosa due to pressure or friction.
- Fordyce's granules: Small yellowish-white spots due to ectopic sebaceous glands.
- Leukoedema: Diffuse, filmy, white appearance on buccal mucosa, disappears when stretched.
- Lichen planus: Oral lesions with different textures (reticular, papular, plaque-type, erythematous, and ulcerative), frequently with white and red elements.
- Epithelial Hyperplasia: Increased cell proliferation on the oral mucosa, usually in response to chronic irritation. This appears as white and/or red papules or plaques.
- Burns (chemical, thermal): Characterized by an irregular shape with white pseudomembrane or erythema, depending on the burn type.
- Radiation mucositis/Mucositis: Secondary to radiation therapy for head and neck cancers, there's redness, followed by pseudomembrane covering. Often with greyish, white slough.
- Koplik's spots: Small white spots, frequently seen in measles.
- Denture Sore Mouth (DSM) and Papillary Hyperplasia (PH): Linked to denture use, with varying levels of severity, from red spots to hyperplastic red palate.
- White spongy nevus: Rare genetic condition with bilaterally symmetrical thick plaques on buccal mucosa, often asymptomatic.
Treatment and Management
- Treatment options vary based on the specific condition and severity. They often involve managing underlying causes (like smoking cessation), providing topical treatments (like anti-fungal medication), and in some cases surgical intervention.
- Observation, supportive measures, and palliative treatments are also crucial aspects of management.
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