Mucosal Colour Changes Flashcards

1
Q

Provide examples of white oral lesions

A
  • hereditary
  • smoking/frictional
  • lichen planus
  • candida leukoplakia
  • carcinoma
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2
Q

Provide examples of hereditary white lesions

A
  • oral white sponge naevus
    • characteristic white changes
    • related to cytokines
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3
Q

How do smoking and friction lead to oral white lesions?

A
  • irritation to mucosal surface
  • increased thickness of keratin layer
  • blood vessels in connective tissue less visible
  • less pink and more white in appearance
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4
Q

What is candidal leukoplakia?

A
  • inflammation
    • epithelium
    • surrounding connective tissue
  • increased thickness and fluid accumulation
    • reduced visibility of blood flow
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5
Q

How might a carcinoma appear as a white oral lesion?

A
  • associated with thickening of cells
    • due to uncontrolled proliferation
  • reduced visibility of blood flow
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6
Q

What can make the appearance of a lesion white?

A
  • thickening of mucosa or keratin
    • less visibility of blood
  • less blood in the tissues
    • vasoconstriction
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7
Q

What is leukoplakia?

A

a white patch that cannot be scraped off or attributed to any other cause

  • diagnosis of exclusion
    • no histopathological connotation
    • clinical description
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8
Q

What percentage of leukoplakia become malignant?

A

1-5%

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9
Q
A
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