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25 Cards in this Set
- Front
- Back
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Which of the following clinical features is more consistent with a diagnosis of recurrent aphthous ulcers, minor type than with recurrent herpes simplex infection?
a) lesions occur most frequently on keratinized tissue b) Lesions usually occur as single ulcers c) Initial lesion begins as a vesicle d) All of the above e) A & C only |
Lesions usually occur as single ulcers
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Recurrent minor aphthous ulcers (RAU) and recurrent intraoral herpes simplex ulcerations (RIHS) have some dissimilar features according to your textbook. Which of the following features are more common with RAU?
a) Initial lesion is an erythematous macule or papule b) Lesion occurs on fixed (keratinized) mucosa c) Lesions are small, multiple and occur in crops d) A & C e) All of the above |
Initial lesion is an erythematous macule or papule
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T/F
The aphthous ulcer is by far the most common oral mucosal ulcer |
False
Traumatic ulcer is most common |
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If extraoral signs and symptoms accompany recurrent aphthous stomatitis, a diagnosis of which of the following should be considered?
a) Diabetes mellitus b) Addison disease c) SLE d) Erythema migrans e) Behcet syndrome |
Behcet syndrome
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Which of the following usually heal with scar formation?
a) Minor aphthous ulcers b) Recurrent herpetic ulcers c) Traumatic ulcers d) Major aphthous ulcers e) All of the above typically heal by scar formation |
Major aphthous ulcers
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Where do minor aphthous ulcers occur?
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on non-keratinized surfaces i.e. buccal mucosa, ventral tongue, mucobuccal fold, floor of mouth, soft palate
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How do minor aphthous ulcerations manifest?
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3-10 mm in diameter
Heal w/o scarring in 7-10 days 1-5 lesions present during each episode very painful |
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How do Major aphthous ulcers manifest?
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Larger than minor aphthous ulcers 1-3 cm
Longest duration Ulcerations deeper 2-6 weeks to heal may scar |
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What 3 areas are most commonly affected by major aphthous ulcers?
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Labial mucosa
Soft palate Tonsillar pillars |
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How do Herpetiform aphthous ulcers manifest?
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Greatest number of lesions (as many as 100 at a time)
Most frequent reoccurence 1-3 mm in diameter Heal within 7-10 days |
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What is a multisystem disorder that affects ocular, mucocutaneous (oral/genital), Joints (arthritis), CNS (paralysis & dementia)?
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Behcet's Syndrome
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What is the biggest danger of Behcet's Syndrome?
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Patient's can develop CNS lesion
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How is Behcet's Syndrome diagnosed?
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Positive pathergy test for diagnosis (poke the skin with pin, inject small amount of saline, over next few days moniter area. If you see a reaction more than 3-4 mm, this is a positive test
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What is the most prominent consistent feature in Behcet syndrome?
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Intraoral ulcers identical to minor Aphthae
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Who is most commonly affected by sarcoidosis?
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Blacks affected 10x more frequently than whites
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What is characterized as a multisystem granulomatous inflammatory disorder?
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Sarcoidosis
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What are two syndromes associated with sarcoidosis?
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Lofgrens syndrome -erythema nodosum, bilateral hilar lymphadenopathy, arthralgia
Heerford'ts syndrome - parotid enlargement, anterior uveitis of the eye, facial paralysis, fever |
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What manifests as
Chronic, indurated lesions on nose, ears, lips, face Symmetric, elevated, indurated, purplish plaques on limbs, back, buttocks Erythema nodosum - scattered, nonspecific, tender, erythematous nodules on lower legs Salivary gland enlargement, xerostomia, keratoconjunctivitis sicca |
Sarcoidosis
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What are two types of orofacial granulomatosis?
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Melkersson-Rosenthal syndrome
Cheilitis Granulomatosa (of Miescher) |
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What type of orofacial granulomatosis is superficial amber vesicles, facial paralysis, fissured tongue, swollen lips?
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Melkersson-Rosenthal syndrome
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What type of orofacial granulomatosis is involvement of lips alone?
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Cheilitis granulomatosa (of Miescher)
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What type of granulomatosis produces strawberry gingivitis?
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Wegener's Granulomatosis
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What condition has necrotizing granulomatous lesions of the respiratory tract, glomerulonephritis, systemic vasculitis of small arteries and veins?
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Wegener's Granulomatosis
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What is the most frequent cause of angioedema?
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Mast cell degranulation is most frequent cause (hypersensitivity reaction to drugs, foods, dust, etc)
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What happens when a patient acquires contact stomatitis from artificial cinnamon flavoring?
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Appear on buccal mucosa and lateral border of tongue
Erythematous base, hyperkeratosis of the surface epithelium, ulceration |
