PHOTO-2024-08-03-11-51-35.jpeg

## Acute Necrotizing Ulcerative Gingivitis ### Etiology - Bacteria - Fusospirochetal Complex - Role of Host Response - Immunosuppression (Common in HIV Patients) ### Local Predisposing Factors - Pre-existing Gingivitis - Injury to gingiva - Chewing - Poor Diet - Malnutrition - Diabetes - AIDS - S...

## Acute Necrotizing Ulcerative Gingivitis ### Etiology - Bacteria - Fusospirochetal Complex - Role of Host Response - Immunosuppression (Common in HIV Patients) ### Local Predisposing Factors - Pre-existing Gingivitis - Injury to gingiva - Chewing - Poor Diet - Malnutrition - Diabetes - AIDS - Syphilis - Cancer - Leukemia - Stress - Habits ## Acute Gynval Infections ### Psychosocial Factors - Stress - Depression - Low PMN function ### Diagnosis - Based on clinical findings - Biopsy - Differential Diagnosis - Herpetic gingivostomatitis - Agranulocytosis - Desquamative gingivitis - Aphthous Stomatitis ### Punched out Crater-like Lesions - Intraoral signs - Punched out crater like depression - At the crest, covered by pseudomembrane - Area erythema - Yellowish line - Severe periodontitis - Spontaneous gingival hemorrhage - Bleeding on soft stimulation ### Symptoms - Sensitive to touch - Radiating coronary pain - Severe pain - Aggravated on hot/spicy food - Parotitis - Saliva - Metallic taste ### Similar to - Desquamative gingivitis - Onthe sign - Nikolsky sign **Note:** The image has some illegible writing, which I tried to interpret based on context.