Oral Manifestations of Crohn Disease

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Questions and Answers

Which gastrointestinal disease is characterized by chronic mucosal inflammation specifically in the rectum, colon, and cecum?

Peptic Ulcer Disorder

Crohn's Disease

Ulcerative Colitis (correct)

Gastro-oesophageal Reflux

What is a common symptom of Ulcerative Colitis?

Bloody diarrhea (correct)

Excessive vomiting

Abdominal bloating

Acid reflux

Which of the following oral manifestations is commonly associated with Ulcerative Colitis?

Major and minor Aphthous ulcers (correct)

Angular cheilitis

Lichen planus

Herpes simplex lesions

What is a common oral manifestation of Crohn disease?

Linear and deep ulcers Signup and view all the answers

In which condition might you find pyostomatitis vegetans as an oral manifestation?

Ulcerative Colitis Signup and view all the answers

What type of lesions are characterized by cobblestone mucosal architecture?

Crohn disease Signup and view all the answers

Which of the following is NOT an extra-intestinal manifestation of inflammatory bowel diseases?

Acid reflux Signup and view all the answers

Which treatment is indicated for symptomatic oral lesions in patients with Crohn disease?

Sodium bicarbonate mouth rinses Signup and view all the answers

Crohn's Disease can manifest anywhere in the gastrointestinal tract. Which of the following additional areas may display manifestations?

Eyes Signup and view all the answers

Hairy leukoplakia is an oral lesion associated with which disease, that can also be found in patients with Ulcerative Colitis?

HIV Signup and view all the answers

Which of the following is NOT a recommended dental management practice for inflammatory bowel disease?

Administration of high-dose NSAIDs Signup and view all the answers

What type of oral lesion is associated with diffuse swelling of the lips in Crohn disease?

Polypoid tag-like lesions Signup and view all the answers

Which laboratory finding is typically elevated in patients with Ulcerative Colitis?

Fecal calprotectin Signup and view all the answers

Which type of gastritis is characterized by neutrophilic infiltrate in the gastric mucosa?

Acute gastritis Signup and view all the answers

Which medication is specifically mentioned for gargling to manage disseminated lesions in the oropharynx?

Dexamethasone elixir Signup and view all the answers

Which condition is NOT typically associated with gastritis?

Dental caries Signup and view all the answers

What is a primary characteristic of atrophic gastritis?

Loss of native glands in the gastric mucosa Signup and view all the answers

Which of the following is NOT considered a typical symptom of gastroesophageal reflux disease (GERD)?

Abdominal cramps Signup and view all the answers

Which type of gastritis can be caused by the use of medications such as chemotherapy?

Medications-induced gastritis Signup and view all the answers

Which factor is a common risk factor for developing gastroesophageal reflux disease (GERD)?

Scleroderma Signup and view all the answers

What oral manifestation is most indicative of peptic ulcer disease?

Xerostomia Signup and view all the answers

Which of the following is a red flag symptom that requires referral for GERD?

Unintentional weight loss Signup and view all the answers

Which statement regarding gastric erosions is correct?

They may occasionally cause bleeding but are limited to the muscularis mucosae. Signup and view all the answers

In chronic gastritis, what primarily characterizes the inflammation seen in the gastric mucosa?

Mononuclear infiltrate Signup and view all the answers

Study Notes

Oral Manifestations of Crohn's Disease

Persistent linear and deep ulcers found in oral mucosa.
Cobblestone appearance of mucosal architecture.
Diffuse swelling of lips and face.
Indurated polypoid tag-like lesions in the vestibule.

Dental Management of Inflammatory Bowel Disease

Regular preventive and routine dental care is essential.
Diagnose oral inflammatory or granulomatous lesions promptly.
Palliative treatments include rinses with sodium bicarbonate.
Topical steroid therapy with 0.05% Fluosinolide for lesions.
For oropharyngeal lesions, use dexamethasone elixir (0.5mg/5ml) gargle, four times daily.

Gastritis Overview

Inflammation of gastric mucosa can arise from multiple causes, primarily H. pylori or NSAIDs.
Common types include acute, chronic, atrophic, and erosive gastritis.

Classification of Gastritis

Acute Gastritis: Neutrophilic infiltration is predominant.
Chronic Gastritis: Characterized by mononuclear infiltration and loss of normal tissue architecture.
Atrophic Gastritis: Chronic inflammation leads to gland loss and potential metaplasia.
Erosive Gastritis: Superficial erosions causing possible bleeding but not extending beyond muscularis mucosae.

Inflammatory Bowel Diseases

Crohn's disease and ulcerative colitis are types of inflammatory bowel diseases (IBD).
Symptoms include bloody diarrhea, abdominal pain, and fecal urgency.
Laboratory findings typically reveal elevated inflammatory markers (ESR, CRP) and fecal calprotectin.

Extra-Intestinal Signs of IBD

Erythema nodosum may appear on skin.
Retinitis can affect vision.
Microcytic hypochromic anemia may develop.
Leucocytosis often presents as a blood finding.

Oral Manifestations of Ulcerative Colitis

Major and minor aphthous ulcers frequently occur on buccal mucosa and mucobuccal fold.
Pyostomatitis vegetans manifests as purulent inflammation, mainly affecting buccal and labial mucosa while sparing the tongue.
Hairy leukoplakia, typically associated with HIV, may also develop.

Crohn's Disease Characteristics

Affects any area within the gastrointestinal tract, unlike ulcerative colitis, which is limited to the colon.
Extra-intestinal manifestations can involve eyes, joints, mouth, and skin.

Peptic Ulcer Disease Oral Manifestations

Xerostomia, altered taste perception, mucosal pallor, anemia, and gingival bleeding can occur.
Mucosal ulcerations and necrotizing stomatitis are significant concerns.

Gastroesophageal Reflux Disease (GERD)

Involves the regurgitation of stomach contents into the esophagus, causing heartburn and potential esophageal injury.
Common risk factors include smoking, caffeine, alcohol, stress, obesity, pregnancy, and certain anatomical issues.

Clinical Features of GERD

Typical symptoms include retrosternal burning pain and regurgitation.
Atypical symptoms may include chest pressure sensations and chronic nonproductive cough.
Red flags for complications include dysphagia, anemia, unexplained weight loss, and any signs of GI bleeding.

Diagnostics for GERD

Patients with red flag symptoms should be referred for gastroenterology evaluation and possible esophagogastroduodenoscopy (EGD) before treatment initiation.

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Description

This quiz covers the oral manifestations associated with Crohn's disease, including symptoms such as deep ulcers, mucosal architecture changes, and polypoid lesions. It also emphasizes the importance of dental management and preventive care for patients with inflammatory bowel disease.