Mucosal Lesions (Infectious) Flashcards
(25 cards)
- papilloma caused by HPV infection, with strains 6 and 11 having the highest prevalence
- this condition may manifest as a genital or oral wart, usually as a result of having oral sex with someone with genital warts
condyloma acuminatum
tx of condyloma acuminatum
excision with high recurrence
an enterovirus causing hand-foot-and-mouth diseases and herpangia, which results in small blister-like sores in the posterior oral cavity (soft palate, throat, and tonsils)
coxsackie virus
The coxsackie virus causes two things:
hand-foot-and-mouth disease
herpangia
papilloma caused by HPV 13 and 32, this condition presents as multiple small dome-shaped warts on oral mucosa
focal epithelial hyperplasia (Heck’s disease)
tx of Heck’s disease (focal epithelial hyperplasia)
excision with excellent prognosis
a viral infection causing contagious genital and/or oral sores
herpes simplex virus (HSV)
primary vs recurrent HSV
Primary: When you contract the virus for the first time in the oral region. This stage is self-limiting and occurs during childhood. Upon healing, the virus remains dormant (latent) in the trigeminal ganglion.
Recurrent: When the virus is triggered by stress, sunlight, or immunosuppression. Has the following different manifestations on keratinized tissue (herpes gladiatorum, herpes labialis, herpetic whitlow, recurrent intraoral herpes)
form of recurrent herpes in which sores form on the lateral neck, sides of the face, and forearm
herpes gladiatorum
form of recurrent herpes in which cold sores form on the vermillion border
herpes labialis (recurrent extraoral herpes)
form of recurrent herpes that is an occupational disease of practicing dentists in which sores form on fingers (dentists with this condition should not contact patients until it subsides
herpetic whitlow
a form of recurrent herpes in which sores form exclusively on attached gingiva or hard palate
recurrent intraoral herpes
tx of HSV
antiviral such as acyclovir during the prodromal period, the period of itching and tingling 12-24 hours before
the period of itching and tingling 12-24 hours before recurrent herpes
prodromal period
a viral infection with oral manifestations including Koplik’s spots, or buccal mucosa dot ulcers that precede the characteristic rash
measles
Describe the primary infection of measles.
self limiting and occurs during childhood
a condition triggered by Epstein Barr virus (EBV) causing white hairy-appearing patches on the tongue that do not wipe off
oral hairy leukoplakia
this is an opportunistic infection associated with HIV and Burkett’s lymphoma
oral hairy leukoplakia
benign noncancerous exophytic growths caused by several strains of HPV
papilloma
Two shapes of papillomas:
pedunculate (ballooning, has a narrow base)
sessile (mound shaped, base is the widest part)
a herpes virus infection causing itchy, blister-like rashes on the skin
varicella zoster virus (VZV)
primary vs recurrent VZV
Primary: When you contract the virus for the first time, is self-limiting, and occurs during childhood. Upon healing, the virus becomes latent in the trigeminal ganglion.
Recurrent: When the virus is triggered again by stress, sunlight, or immunosuppression. Leads to shingles.
a herpes zoster reactivation in geniculate ganglion impacting CN VII and VIII leading to facial paralysis, vertigo, and deafness
Ramsay Hunt syndrome
tx of VZV
acyclovir
