Fichas
Path Common Oral ds (2)
Fichas del conjunto (49)
- 1palatal torusbenign, reactive protruberance arising from cortical plate in midline of hard palate
25% of pop ( more common than mand)
common in females and asians/inuits
no tx
easily ulcerated and visible on radio as RO mass - 2mandibular torusbenign, reactive protruberance arising from cortical plate often BILATERAL on lingual mandible
10% of US pop
single or multiple nodules
slight pref for males and asians/inuts
no tx
large well defined RO areas - 3exostosesbenign, reactive protruberance arising from cortical plate not found on hard palate or mandible
USUALLY buccal aspect of the ridge - 4traumatic ulcerlesion with white keratotic border
look for etiology of trauma
remove irritant and biopsy if does not resolve in 2 weeks
histo: ulcerated areas and local intact epi with cellular atypia - 5traumatic fibromamost common "tumor" of oral cavity
inflammatory fibrous hyperplasia
a reactive lesion of fibroblasts rather than a true neoplasm
smooth nodule with sessile base found in easy traumatized areas
hist: str sq epi with nodular prolif of firbous CT benath - 6giant cell fibromapapillary surface easily confused with papilloma
not associated with trauma and occurs at a young age
mucosal sessile nodule
str. sq epi with LONG RETE PEGS and ENLARGED/STELLATE SHAPED/MULTINUCLEATED FIBROBLASTS - 7epulis fissuratum (inflammatory fibrous hyperplasia, denture injury tumor, fibrous/denture epulis)redundant fibrous tissue assoc with denture flange
elongation of rete pegs and fibrous CT
tx: remove and make new dentures - 8inflammatory papillary hyperplasia (denture papillamtosis)poor OH + ill fitting denture
bumpy surface + red mucosa due to canida infection
tx: surgical correction and new pros - 9medication associated gingival enlargmentgingival enlargement that begins in interdental papilla and forms pseudopockets
non-spp clinical appearance
multiple drugs are synergistic
severity related to pt suceptibility and local factors
anticonvulsants (dilantin 50%), Ca channel blockers (procardia 25%), immunosupp (sandimmune 25%)
control local factors + gingivectomy + change meds + med tx
elongated rete pegs and prolif of fibrous tissue - 10pyogenic granulomaBUMP ON THE GUMS
reactive vascular lesion in females
rapid growth
most commonly gingiva but also skin or any mucosal site
sessile and pedunculated, often traumatized and bleeding
hist: BV, granulation tissue, inflamma
special variant in preg. women - 11peripheral ossifying fibromaBUMP ON THE GUMS
reactive lesion in young adults
only on gingiva
fibrous hyperplasia with osseos metaplasia (RO)
may recurr and move teeth
histo: cellcular stroma with OSSIFICATIONS - 12peripheral giant cell granulomaBUMP ON THE GUMS
reactive lesion in older adults
occurs on gingiva and edentulous ridge
contains hemosiderin (blue)
may recurr
no radiographic presentation intraossoeusly
histo: large multinucleated giant cells and hemosiderin deposits and RBCs - 13squamous papillomaform of HPV-low virulence and infectivity
solitary lesion in adult
pedunculated exophytic papule with numerous surface projections - 14verrucca vulgarisform of HPV-medium virulance and infectivity
"common wart" found on skin of hands of children
multiple clustered lesions are common
white verrucoid surface
autoinnocluation of oral mucosa (looks like sq papilloma)
histo: papillary projections with keratin, fibrovascular core - 15condyloma accuminatumform of HPV--hi virulence and infectivity
veneral wart (STD)
multiple, clustered lesions
sessile, pink exophytic mass, larger than sq papilloma
low risk subtypes 6 and 11 often see (16 + 18 seen as well)
found on genitals and in oral cavity - 16primary herpetic gingivostomatitisinitial exposure to virus--at young age
mostly subclinical; clinical cases present with flu-like symptoms and cervical lymphadenopathy
both KERAT and NONKERAT tissues affected
1-2 weeks to heal - 17secondary HSVremains dormant in trigem nerve and is reactived throughout life
only on KERAT mucosa
histo: Tzank cells
1-2 weeks to heal - 18recurrent apthous stomatitiserythrematous macule --> ulcer --> fibrin membrane
minor (1-2 weeks healing), major (mo healing) or herpetiform
no clinical symp od ds
NON-KERAT only
may be assoc with ds: Bechet's, Reiters, IBS, malabsorp syndrome, cyclic neutropenia, AIDS - 19angular chelitiscandidia found at corner of mouth
erythema or white pseudomembrane with cracking
often decr VDO or droolers - 20hyperplastic candidiasiswhite candidia that does not wipe off
must biopsy - 21pseudomembranous candidiasiswhite wipeable plaques in oral cavity
- 22median rhomboid glossitis (central papillary atrophy)erythema in midline of dorsal tongue
result of candidia infection - 23atrophic (erythematous) candidiasisred tissue in denture bearing areas due to candidia infec
- 24mucoceleminor salivary gland lesion with rupture of ductal system
found in easily traumatized locations (lower lip), may be blue
rupture of SL gland --> ranula - 25allergic gingivitisdiffuse red gingiva due to allergy
returns to normal with removal of irritant (ie gum) - 26NUGpunched out interdental papilla
- 27pericoronitissoft tissue inflammation overlying erupting tooth
- 28folate papilla and lingual tonsilsnormal structure on post lateral tongue
check to see if bilateral--> normal - 29oral lymphoepithelial cystyellow bump in areas of lymphoid tissue
post lateral tongue, tonsillar area, FOM - 30fissured tonguevariation of normal
fissures may harbour bacteria-->tongue scrapping - 31hairy tongueelongated filliform papillae
exogenous pigment (drinks, tobacco) may impart black appearance
assoc with smoking and abx - 32fordyce granulesectopic sebaceous glands
development stim at puberty
bilaterally on buccal mucosa - 33actinic chelitispremalig condition of lips due to sun damage
assoc with dysplasia
blurred vermillion border, ulcerations - 34leukoplakiawhite patch or plaque that cant be charac clinically/pathologically as anything else
requires biopsy for dx
ex: dysplasia, SCC, hyperplastic candida - 35erythroplakiared patch that cant be charac clinically or path
requires biopsy
greater incidence of malig than leuko - 36physiologic pigmentationdiffuse pigment of the gingiva seen in pts with darker skin
- 37oral melanotic maculefocal incr in melanin with normal number of melanocytes
most common lower lip vermillion border - 38medication induced pigmentationmay look like physiologic pigmentation or oral melanotic macule
caused by quinines and minocylcine - 39reticular lichen planuswickhams striae and white lace like lesions of posterior B mucosa
painless
also papules and plaques, and skin lesions in flexor areas
immune mediated
middle aged females - 40erosive lichen planusred and white lace like lesions on buccal mucosa
may be ulcerations
painful
immune mediated
middle aged females - 41causes of desquamtive gingivitiserosive lichen planus
MMP
pemphigus vulgaris - 42geographic tongueunknown cause
common at tip and lateral border
multiple erythematous areas with atrophy of filliform papilla and elevated white regions on tongue or FOM
asymptomatic or mild acid sensitivty
histo: resembles psioriasis--microabscesses with collections of NP
in other locations: erythrema migrans
assoc with Reiter's Syndrome (arthritis, conjunctivitis, urethritis) - 43"lichenoid" lesionsdue to medications, restorative materials, toothpaste or cinnamon flavoring
dequamtive gingivitis/ red gingiva/ white lesions
may produce sloughing of tissue - 44pemphigus vulgarisintraepithelial blister
ag attack desmosomes
AI ds
desquamative gingivitis and nikolsy's sign
immunofl: IgG at BM
histo: basal cells still attached to BM - 45mucous membrane pemphigoidAI ds: BM antigens (BP180, laminin 5)
attacks hemidesmosomes
nikolsky sign
ulceration in eyes may create scarring - 46erythema multiformetype 3 HS
may follow infection (HSV, mycoplasm penumonia) or drugs (abx, analgesics) in yg adults
sudden onset of widespread, painful superficial mucosal ulcers
target lesions of the skin (maybe)
prodoromal symptoms, self limiting (2-6 weeks)
avoid dehydration, recurrent
severe forms: Steven Johnson's Syndrome, TOxic epidermyl necrolysis) - 47lupus erythrematousAI ds in adult women of child-bearing yrs
Type 3 HS: Antinuclear Ab
butterfly rash
multi organ - 48SLEmost common form of lupus
highest morbidity due to glomerulonephritis and renal failure
butterfly rash in 50%, aggrev by sun
liebman sachs endocarditis (non-bacterial in mitral valve)
arthritis, arhtralgia, heart and lung, anemia, marrow dep, vasculitis, skin rash - 49—
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- SP D2 Fichas sobre Path Common Oral ds (2), creado por Katie Hayes el 28/02/2020.
- Creado por
- Katie Hayes
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