Archive for October, 2012

Treatment of Hairy Leukoplakia

Treatment of Hairy Leukoplakia None necessary; predisposing condition to be investigated Can be suppressed with acyclovir for esthetics Antiviral acyclovir Podophyllin resin topically Prognosis May herald human immunodeficiency virus (HIV) disease in vast majority of cases Also may be present after AIDS is established  

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Differential Diagnosis of Hairy Leukoplakia

Differential Diagnosis of Hairy Leukoplakia Frictional hyperkeratosis Lichen planus Hyperplastic candidiasis

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Clinical features of Hairy Leukoplakia

Clinical features of Hairy Leukoplakia Usually arises on lateral tongue border Early lesions are fine, white, vertical streaks with an overall corrugated surface Later lesions may be thickened to be plaque-like Extensive lesions can involve dorsum of tongue and buccal mucosa May serve as a pre-AIDS (acquired immunodeficiency syndrome) sign Diagnosis Incisional biopsy findings show […]

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Eitiology / Causes of Hairy Leukoplakia

Eitiology / Causes of Hairy Leukoplakia Probably due to opportunistic Epstein-Barr virus (EBV) infection of epithelial cells Usually in an immunocompromised or immunosuppressed host  

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Treatment of Geographic Tongue

Treatment of Geographic Tongue None, if asymptomatic Topical corticosteroids, if symptomatic Prognosis Excellent No malignant potential May last months to years with periods of remission    

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Differential Diagnosis of Geographic Tongue

Differential Diagnosis of Geographic Tongue Reiter’s syndrome Lichen planus Lupus erythematosus Candidiasis Psoriasis    

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Clinical features of Geographic Tongue

Clinical features of Geographic Tongue May be symptomatic in association with spicy or acidic foods Focal red depapillated areas bordered by slightly elevated, yellowish margin Dynamic behavior: changes in shape, size, intensity day to day Dorsal and lateral tongue surfaces affected predominantly Ventral tongue and other areas less often involved Often associated with fissured tongue […]

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Eitiology / Causes of Geographic Tongue

Eitiology / Causes of Geographic Tongue Unknown; may be familial May be related to atopy Small percentage associated with cutaneous psoriasis    

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Treatment of Fordyce’s Granules

Treatment of Fordyce’s Granules • None • Reassurance Prognosis • Excellent

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Differential Diagnosis of Fordyce’s Granules

Differential Diagnosis of Fordyce’s Granules • Candidiasis Diagnosis • Bilateral distribution and appearance • Lack of symptoms • If biopsy performed, normal sebaceous glands in the absence of hair follicles noted

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