Chapter 9 Allergies and immunologic diseases Flashcards

(46 cards)

1
Q

What are the three patterns of transient lingual papillitis?

A
  • Localized
  • Generalized
  • Diffuse, papulokeratotic variant
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2
Q

What does transient lingual papillitis appear as?

A

-Large red/yellow papilla

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3
Q

For symptomatic transient lingual papillitis what might help reduce the pain?

A

-Topical steroids

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4
Q

What are recurrent aphthous ulcerations aka?

A

-Recurrent aphthous stomatitis (canker sores)

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5
Q

Where do recurrent aphthous ulcers occur exclusively?

A

-Movable mucosa

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6
Q

What are the three clinical variations of Recurrent aphthous ulcers?

A
  • Minor
  • Major
  • Herpetiform
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7
Q

When does RAU occur?

A

-Childhood

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8
Q

What is the most common form of RAU?

A

-Minor

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9
Q

T/F Pats with RAU minor typically have a prodrome

A

True

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10
Q

What does RAU minor appear as in size?

A

-Less than 1 cm

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11
Q

How fast does RAU minor heal?

A

-7-10 days spontaneously

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12
Q

Who does RAU major occur in?

A

-Adolescents

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13
Q

What does RAU major appear as in size?

A

1-3 cm

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14
Q

What type of RAU has the longest duration per episode?

A

-Major

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15
Q

How long does it take RAU to heal?

A

2-6 weeks

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16
Q

T/F RAU major may cause scarring

A

True

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17
Q

How many lesions per episode do you get in RAU Minor?

A

-1-5

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18
Q

How many lesions per episode do you get in RAU major?

A

1-10

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19
Q

What are the most commonly involved locations of RAU major?

A
  • Labial mucosa
  • Soft palate
  • Tonsillar fauces
20
Q

What is major aphthus uclers aka?

A

-Suttons disease

21
Q

Who does RAU herpetiform occur in?

22
Q

What type of RAU occurs in greatest numbers of lesions and recurrences?

A

-Herpetiform stomatitis

23
Q

What is the size of herpetiform RAU?

24
Q

What is the healing time of herpetiform RAU?

25
Which type of RAU is scarring possible?
-Major
26
How many lesions are possible for RAU herpetiform?
-up to 100
27
What is a chronic recurrent immune mediated disease with oral aphthous like ulcerations, ocular inflammation, genital ulcers and skin lesions?
-Behcet's syndrome
28
What is associated with Behcet's syndrome?
- Ocular inflammation - Genital ulcers - Oral aphthous-like ulcers - Joint pain
29
What is the treatment for Behcet's syndrome?
-Systemic and topical steroids
30
What is a multisystem granulomatous disorder of unknown cause?
-Sarcoidosis
31
What organs are most commonly involved in sarcoidosis?
- Lungs - Lymph nodes - Skin - Eyes - Salivary glands
32
T/F Lymphoid tissue is involved in almost all cases of sarcoidosis
True
33
What pt is most likely to have sarcoidosis?
-African Americans
34
What are two different syndromes associated with sarcoidosis?
- Lofgren's syndrome | - Heerfordt's syndrome
35
If you have sarcoidosis on the skin what is it termed?
-Lupus pernio
36
If you have scattered, nonspecific, tender, red nodules on lower legs, what is that termed?
-Erythema nodosum
37
What is associated with Lofgren's syndrome?
- Erythema nodosum - Bilateral hilar lymphadenopathy - Arthralgia (joint pain)
38
What is associated with Heerfordt's syndrome?
- Parotid enlargement - Inflammation of eye - Facial paralysis - Fever - aka uveoparotid fever
39
What are the histological features of Sarcoidosis?
- Granulomatous inflammation - Schaumann bodies - Asteroid bodies - Hamazaki-Wesenberg bodies
40
What is needed to diagnose sarcoidosis?
- Elevated serum angiotensin-converting enzyme levels - Chest XRAY - Kveim test
41
When only the lips are involved with orofacial granulomatosis what is that known as?
-Cheilitis granulomatosa
42
What is Melkersson-Rosenthal syndrome?
- Cheilitis granulomatosa - Facial paralysis - Fissured tongue
43
What does classic Wegner's granulomatosis have associated with it?
- Necrotizing granulomatous lesions of respiratory tract, - necrotizing glomerulonephritis - Systemic vasculitis of small arteries and veins
44
What are the oral lesions are characteristic of wegner's granulomatosis?
-Strawberry gingivitis
45
How do you diagnose Wegner's granulomatosis?
-Indirect immunofluorescence detecs presence of antineutrophil cytoplasm antibodies (cytoplasmic)
46
If wegner's granulomatosis goes untreated what is the prognosis?
-10% two year survival