Appendix 02: White Lesions that cannot be scraped off

Question 1

Linea alba

Answer 1

Buccal mucosa along occlusal plane

Question 2

Leukoedema

Answer 2

Primarily in blacks.
Milky white alteration of buccal mucosa
Bilateral
Disappears when stretched

Question 3

Leukoplakia

Answer 3

May show benign hyperkeratosis, epithelial dysplasia, or invasive carinoma

Question 4

Tobacco pouch keratosis

Answer 4

Usually in mandibular vestibule

Associated with chewing tobacco

Question 5

White coated tongue

Answer 5

Diffuse involvement of dorsal tongue

Question 6

Lichen planus

Answer 6

Wickhams Striae

Bilateral on buccal mucosa

Question 7

Morsicatio

Answer 7

Anterior buccal mucosa, labial mucosa, lateral tongue

Ragged surface

Question 8

Actinic cheilosis

Answer 8

Pale gray-white, scaly alteration of lower lip.
Older men in sun
Precancerous

Question 9

Nicotine stomatosis

Answer 9

Pipe smoking

Hard palate

Question 10

Hairy leukoplakia

Answer 10

Lateral border of tongue
Rough surface with vertical fissures
Associated with HIV

Question 11

Hyperplastic candidiasis

Answer 11

Usually anterior buccal mucosa

Question 12

Lupus erythematosis

Answer 12

Buccal mucosa
Mimics lichen planus or leukoplakia
Associated skin lesions may be present

Question 13

Skin graft

Answer 13

History of previous surgery

Question 14

Submucous fibrosis

Answer 14

Betel quid chewing

India and SE Asia

Question 15

White sponge nevus

Answer 15

Hereditary
Onset in childhood
Generalized Lesions
Buccal Mucosa

Question 16

Hereditary benign intraepithelial dyskeratosis

Answer 16

Hereditary
Onset in childhood
Generalized Lesions
Buccal Mucosa
Ocular involvement possible

Question 17

Pachyonychia congenita

Answer 17

Palmar and plantar changes
Kids
Dorsal tongue
Nail issues

Question 18

Dyskeratosis congenita

Answer 18

Dystrophic Finger Nail Changes in Kids

Question 19

Uremic stomatitis

Answer 19

Renal failure