Category: Clinical features

Clinical features of Leukoplakia

Clinical features of Leukoplakia An idiopathic white (sometimes white-and-red) patch Most common on lip, gingiva, buccal mucosa Increased risk of dysplasia or carcinoma when occurring on tongue, floor of mouth, vermilion portion of lip Clinical subsets include homogeneous, verrucous, speckled, and proliferative verrucous leukoplakia (proliferative form may be multiple and persistent) Cases may advance or […]

January 31, 2013 | 0 Comments More

Clinical features of Leukoedema

Clinical features of Leukoedema • Symmetric, asymptomatic • Buccal mucosa involved by gray-white, diffuse, milky surface with an opalescent quality • Wrinkled surface features at rest • Dissipation of changes with stretching of mucosa   Diagnosis • Clinical recognition is sufficient. • Biopsy findings will show marked intracellular edema of spinous layer. • Individual cells […]

December 31, 2012 | 0 Comments More

Clinical features of Hairy Tongue

Clinical features of Hairy Tongue  Elongated, hyperkeratotic filiform papillae on tongue dorsum producing a “furred” to “hairy” texture  Color varies from tan to brownish yellow to black depending upon diet, drugs, chromogenic organisms  Symptoms usually minimal; may produce gagging or tickling sensation on palate Diagnosis  Clinical features  Culture or cytologic studies not helpful

November 30, 2012 | 0 Comments More

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 […]

October 28, 2012 | 0 Comments More

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 […]

October 28, 2012 | 0 Comments More

Clinical features of Fordyce’s Granules

Clinical features of Fordyce’s Granules • Multiple, scattered, yellowish pink, maculopapular granules • Buccal mucosa and vermilion of lips predominantly affected • Asymptomatic • Increasingly prominent after puberty Diagnosis • Bilateral distribution and appearance • Lack of symptoms • If biopsy performed, normal sebaceous glands in the absence of hair follicles noted

October 28, 2012 | 0 Comments More

Clinical features of Exfoliative Cheilitis

Clinical features of Exfoliative Cheilitis Usually involves lower lip (in both genders); can involve both lips Tender or asymptomatic crusts and impacted scale of vermilion Minimal inflammation Diagnosis Clinical appearance Nonspecific microscopy results

August 5, 2012 | 0 Comments More

Clinical features of Candidiasis

Clinical features of Candidiasis Acute (thrush) • Pseudomembranous • Painful white plaques representing fungal colonies on inflamed mucosa • Erythematous (acute atrophic): painful red patches caused by acute Candida overgrowth and subsequent stripping of those colonies from mucosa Chronic • Atrophic (erythematous): painful red patches; organism difficult to identify by culture, smear, and biopsy • […]

August 5, 2012 | 0 Comments More

Clinical features of Actinic (Solar) Cheilitis

Clinical features of Actinic (Solar) Cheilitis Vermilion portion of lower lip Pale irregularly opaque (keratotic) surface with intervening red (atrophic) zones Obfuscated to effaced cutaneous-vermilion border More advanced lesions are scaly, crusted and/or indurated. Progression to carcinoma often heralded by persistent ulceration or erosion

July 30, 2012 | 0 Comments More
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