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85 Cards in this Set
- Front
- Back
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What is the MOST COMMON NON-TRAUMATIC ULCERATION of oral tissues?
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RECURRENT APHTHOUS STOMATITIS "Canker Sores"
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What is the proper name for "Canker Sores"
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RECURRENT APHTHOUS STOMATITIS
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CHRONIC RECURRENT APHTHOUS STOMATITIS can be associated with which systemic conditions?
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- Behcet Syndrome
- Crohn's disease - Celiac disease |
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What is the MOST COMMON of the RECURRENT APHTHOUS STOMATITIS?
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MINOR APHTHOUS ULCERATIONS
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What is the size range of MINOR APHTHOUS ULCERATIONS?
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3-10 mm
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What is the size range of MAJOR APHTHOUS ULCERATIONS?
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1- 3 cm
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WHat is the size range of HERPETIC APHTHOUS ULCERATIONS?
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1-3 mm
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Where does MINOR RAS commonly occur?
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- exclusively on NON-KERATINIZED MUCOSA
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Where does MAJOR RAS commonly occur?
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- any site
- predilection for moveable oral mucosa (labial, soft palate, tonsilar) |
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Where does HERPETIC RAS commonly occur?
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- most commonly NON KERATINIZED MOVEABLE MUCOSA
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What is the healing time of MINOR RAS?
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- 7-14 days w/o scarring
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What is the healing time of MAJOR RAS?
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2-6 weeks
- may cause scarring |
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What is the healing time of HERPETIC RAS?
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7-10 days
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When is the onset of MINOR, MAJOR, and HERPETIC RAS?
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MINOR: childhood / adolescence
MAJOR: post-puberty HERPETIC: adults |
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Which RAS has fewest recurrences and shortest duration?
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MINOR
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Which RAS has longest duration per episode?
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MAJOR
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Which has the GREATEST NUMBER of lesions and MOST FREQUENT RECURRENCE of RAS lesions?
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HERPETIC
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What is the treatment for patients with RECURRENT APHTHOUS STOMATITIS?
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- treatment is application of gel or cream based topical corticosteroids
- in severe and persistent cases systemic steroids |
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What is one of the main features of BEHCET SYNDROME?
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Vasculitis
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BEHCET SYNDROME appears more commonly in which countries?
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- Turkey
- Japan - East Mediterranean "silk route" |
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Define BEHCET SYNDROME:
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- uncommon multisystem disease with recurrent oral aphthae like ulcers
- may be immunodysfunction |
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Why are the ORAL LESIONS significant in BEHCET's SYNDROME?
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They are usually the first manifestations of the disease in 25-75% of cases
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What are the features of the oral lesions of BEHCET'S SYNDROME?
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Usually 6 or more ulcers, ragged borders, surrounded by a larger zone of diffuse erythema
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What are the most common sites of oral lesions in BEHCET's SYNDROME?
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- soft palate
- oropharynx (non-keratinized oral mucosa |
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What are the overall clinical features of BEHCET's SYNDROME?
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- GENITAL:
- EYE LESIONS: - SKIN: hyperreactivity - JOINTS - CNS |
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Define "PATHERGY"
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Skin hyperreactivity
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What is the DIAGNOSTIC CRITERIA for BEHCET's?
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- recurrent oral ulcerations
- recurrent genital aphthae like uilcers - ocular lesions - cutaneous lesions - positive pathergy test |
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Define SARCOIDOSIS:
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- multisystem granulomatous disorder of unknown cause
- improper degradation of antigenic material with the formation of noncaseating granulomatous inflammation |
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How is SARCOIDOSIS discovered on routine chest films?
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BILATERAL HYLAR LYMPHADENOPATHY
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Define HEERFORDT'S SYNDROME:
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Uveoparotid fever: parotid enlargement, anterior uveitis of eye, facial paralysis, fever
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How is diagnosis of SARCOIDOSIS confirmed?
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- clinical
- biopsy - elevated serum angiotensin converting enzyme - chest xrays |
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What is the treatment of SARCOIDOSIS?
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Approx 60% resolve spontaneously in 2 years without tx. Immunosuppressive therapy if severe
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Define OROFACIAL GRANULOMATOSUS:
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Presence of granulomatous inflammation in the oral and facial regions
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What is the most common area for OROFACIAL GRANULOMATOSUS?
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Lips
- non-tender persistent swelling of one or both lips |
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Define CHEILITIS GRANULOMATOSA:
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OROFACIAL GRANULOMATOSUS involving only the lips.
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What is MELKERSON ROSENTHAL SYNDROME?
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- Orofacial swelling, and facial paralysis, and fissured tongue
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What is the treatment of OROFACIAL GRANULOMATOSUS?
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- remove sources of inflammation
- intralesional corticosteroids |
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What is WEGENER'S GRANULOMATOSUS?
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necrotizing granulomatous process with vasculitis
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What are the different spectrums of WEGENERS?
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CLASSIC: upper airway, lungs, kidney
LIMITED: respiratory SUPERFICIAL: skin and mucosa |
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How is diagnosis of WEGENERS GRANULOMATOSUS made?
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- clinical
- biopsy - chest and sinus radiographs |
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Define STOMATITIS MEDICAMENTOSA:
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Allergic reaction of the oral mucosa to the systemic administration of a medication
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What are the most common drugs to cause ALLERGIC MUCOSAL REACTION?
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- antibiotics (penicillins)
- sulfa drugs |
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How does MUCOSAL FIXED DRUG REACTION look like?
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- localized areas of erythema and edema
- develop into vesiculoeruptive lesions - frequently on labial mucosa |
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How is a diagnosis of STOMATITIS MEDICAMENTOSA made?
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- detailed medical history: recent use of drugs
- temporal relationship between drug use and mucosal alteration |
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What is the treatment of STOMATITIS MEDICAMENTOSA?
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- LOCALIZED: topical corticosteroids
- CHRONIC: resolve on cessation of offending drug, topical cortico may be required to assist - SYSTEMIC: need systemic cortico |
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Define ALLERGIC CONTACT STOMATITIS:
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- can be acute and chronic
- similar to those cases of chronic irritation - chronic dryness, scaling, fissuring, cracking |
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What does ACUTE CONTACT STOMATITIS present with usually?
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- burning most frequent symtpoms
- redness with or without edema - superficial aphthous like ulcerations may be seen |
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What does CHRONIC CONTACT STOMATITIS present with usually?
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- may be erythematous or white and hyperkeratotic
- periodic erosion may develop - some allergens, such as toothpaste, can cause widespread erythema, desquamation of superficial layers of epithelium |
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What is hte difference of CONTACT STOMATITIS between TOOTHPASTE and CHEWING CANDY?
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Toothpaste: more diffuse pattern
Chewing gum: localized |
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How long do symptoms of CONTACT STOMATITIS take to disappear?
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1 week after discontinuation of cinnamon product
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How is diagnosis of CHRONIC ORAL MUCOSAL CONTACT REACTIONS TO DENTAL AMALGAM made?
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- clinical appearance: similar to lichen planus
- lack of migration - correlation to adjacent amalgam |
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Define ANGIOEDEMA:
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Common clinical presentation of allergic conditions with different etiologic pathways.
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How does ANGIOEDEMA develop?
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- rather quickly as regional, painless, swelling of lips, anterior cheeks, and tongue
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What is the most common cause of ANGIOEDEMA?
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- mast cell degranulation which leads to histamine release
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Identify the following allergic condition:
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RECURRENT APHTHOUS STOMATITIS
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Identify the following allergic condition:
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RECURRENT APHTHOUS STOMATITIS
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Identify the following allergic condition:
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RECURRENT APHTHOUS STOMATITIS
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Identify the following allergic condition:
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RECURRENT APHTHOUS STOMATITIS
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Identify the following allergic condition:
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RECURRENT APHTHOUS STOMATITIS
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Identify the following allergic condition:
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RECURRENT APHTHOUS STOMATITIS
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Identify the following allergic condition:
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RECURRENT APHTHOUS STOMATITIS
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Identify the following allergic condition:
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RECURRENT APHTHOUS STOMATITIS
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Identify the following allergic condition:
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RECURRENT APHTHOUS STOMATITIS
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Identify the following allergic condition:
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RECURRENT APHTHOUS STOMATITIS
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Identify the following allergic condition:
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RECURRENT APHTHOUS STOMATITIS
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Identify the following allergic condition:
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RECURRENT APHTHOUS STOMATITIS
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Identify the following allergic condition:
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RECURRENT APHTHOUS STOMATITIS
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Identify the following allergic condition:
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RECURRENT APHTHOUS STOMATITIS
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Identify the following allergic condition:
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RECURRENT APHTHOUS STOMATITIS
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Identify the following allergic condition:
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RECURRENT APHTHOUS STOMATITIS
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Identify the following allergic condition:
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RECURRENT APHTHOUS STOMATITIS
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Identify the following allergic condition:
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RECURRENT APHTHOUS STOMATITIS
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Identify the following allergic condition:
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BEHCET'S SYNDROME
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Identify the following allergic condition:
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BEHCET SYNDROME
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Identify the following allergic condition:
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OROFACIAL GRANULOMATOSA
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Identify the following allergic condition:
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OROFACIAL GRANULOMATOSA
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Identify the following allergic condition:
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OROFACIAL GRANULOMATOSA
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Identify the following allergic condition:
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OROFACIAL GRANULOMATOSA
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Identify the following allergic condition:
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OROFACIAL GRANULOMATOSA
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Identify the following allergic condition:
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CONTACT STOMATITIS
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Identify the following allergic condition:
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CONTACT STOMATITIS
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Identify the following allergic condition:
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CONTACT STOMATITIS
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Identify the following allergic condition:
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CONTACT STOMATITIS
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Identify the following allergic condition:
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CONTACT STOMATITIS
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Identify the following allergic condition:
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CONTACT STOMATITIS
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