Appendix 09: Acute Ulcerative Lesions

Question 1

Traumatic Ulcer

Answer 1

Mild to moderate pain, history of local trauma

Question 2

Aphthous stomatitis

Answer 2

Extremely painful

Nonkeratinized movable mucosa

Question 3

Recurrent herpes labialis

Answer 3

Vermilion and labial skin.

Multiple vesicles

Question 4

Primary herpetic gingivostomatitis

Answer 4

Fever and Malaise
Children and YA
Gingiva constintly affected

Question 5

Necrotizing Ulcerative Gingivitis (NUG)

Answer 5

Painful destruction of gingival papillae
Fetid Odor
Teens and YA

Question 6

Mucosal burns

Answer 6

Chemical or Thermal

Question 7

Recurrent intraoral herpes simplex

Answer 7

Gingiva or Hard Palate

Focal cluster of shallow ulcers

Question 8

Allergic Reactions

Answer 8

Various causes

Question 9

Erythema multiforme/Steven-Johnson Syndrome

Answer 9

Kids and YA
Target skin lesions
Ocular and Genital Involvement

Question 10

Herpangina

Answer 10

Especially in kids

Multiple small ulcers on soft palate and tonsillar pillars

Question 11

Varicella (Pox)

Answer 11

Few oral vesicles

Question 12

Herpes zoster

Answer 12

Unilateral involvement along nerve

Painful vesicles and ulcers

Question 13

Hand Foot Mouth

Answer 13

Kids
Multiple vesicles and ulcers
Hands and Feet

Question 14

Necrotizing sialometaplasia

Answer 14

Posterior lateral hard palate
Deep crater ulcer
Sometimes only minimal pain

Question 15

Anesthetic necrosis

Answer 15

At site of palatal injection

Question 16

Primary syphilis

Answer 16

Chancre

painless

Question 17

Behcet Syndrome

Answer 17

Aphthous like ulcers
Genital ulcers
Ocular inflammation