Causes of Generalised Oral Pigmentation Flashcards

1
Q

Patient with PEUTZ-JEGHERS have an increased risk of what?

[Purhtz-yaygurz]

A

Internal pigments have a risk of developing into internal malignancy (gut, breast, genital)

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2
Q

What is this an example of?

A

Post inflammatory hyperpigmentation

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3
Q

Paan/betel nut chewing is associated with what dental problems?

A

Tooth surface loss
Staining
Lichenoid reactions
Epethelial dysplasia
Oral squamous cell carcinoma

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4
Q

What is this an example of?

A

Peutz-Jeghers syndrome

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5
Q

Where does pigmentation of smoking tobacco normally deposit?

A

Pigmentation often affecting labial gingiva

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6
Q

What does the pigmentation resulting from Addison’s disease present as?

A

Streaks or patches of blue-black oral pigmentation

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7
Q

What is the clinical appearnce of a patient with PEUTZ-JEGHERS?

[Purhtz - yaygurz]

A

Multiple small perioral & vermillion freckles

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8
Q

Paan/betel nut chewing is associated with what dental problems?

A

Tooth surface loss
Staining
Lichenoid reactions
Epethelial dysplasia
Oral squamous cell carcinoma

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9
Q

What is this an example of?

A

Racial pigmentation

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10
Q

Describe the presentation of racial pigmentation

A

Generlaised and symmetrical pigmentation most commonly around gingiva

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11
Q

What is this an example of?

A

Pigmentation arising from paan chewing

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12
Q

What is Post inflammatory hyperpigmentation?

Where is this condition common?

A

Pigmentation which follows mucosal irritation and inflammation, during the healing phase with increased pigmentation

Common in chronic lichen planus in the buccal mucosa

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13
Q

How does Addison’s disease cause pigmentation?

A

Pigmentation due to secondary melanocyte stimulation by increased levels of adrenocorticotropic hormone (ACTH)

ACTH -> stimulates melanocytes -> pigmentation

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14
Q

What is this an example of?

A

Pigmentation arising from paan chewing

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15
Q

How may paan/betel nut chewing lead to pigmentation?

A

Pigment from paan/betel nut may be deposited on oral mucosa or teeth

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16
Q

What is the managment of Addison’s disease?

A

Lifelong steroid hormone replacement therapy