Flashcards in Week 5 Deck (28)
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1
What are the 5 P's in Lichen Planus
Puritic, Papule, Purple, Polygonal and Plaque (Phlat)
2
Is Lichen Planus autoimmune?
NO, Immune mediated only (no antibodies/proteins attacked)
3
What type of hypersensitivity is Lichen Planus?
Type 4
4
6 types of Lichen Planus
BEER-UP. Bullous, Erythamatous, Erosive, Reticular, Ulcerative and Plaque.
Atrophic is aka erythematous
5
Lichen Planus
-histologic->DIF finding
Presence of Fibrinogen at BMZ
6
What type of Lichen Planus would you use a steroid for treatment?
Erosive/Bullous/Ulcerative (those with ulcerations)
7
What % malignancy rate does Lichen Planus have?
None, only coincident.
8
Two types of Lupus Erythematosus?
Systemic
Discoid
9
Difference between SLE and DLE (2)
-SLE has _______
-DLE only affects _______
SLE has antibodies. DLE only affects oral and skin.
10
Describing the Skin lesions of DLE (2)
1. Hypopigmented centers
2. Hyperpigmented Margins
11
Describing the Oral lesions of DLE (2)
1. Ulcers
2. With Striae
12
What antibody test is MOST suggestive of SLE?
(positive for) Anti Sm antibodies.
13
Describing the Oral lesions of SLE (2)
1. Ulcers
2. With Striae
14
Describing the Oral lesions of SLE
-Location(4)
1. Vermillion border
2. Buccal mucosa
3. Gingiva
4. Palate
15
What is NOT included in the differential for Red lesions with SLE??
Leukoplakia
16
SLE
-histologic->DIF findings (5)
1. IgG,2. IgM 3. IgA, 4. C3 5. Fibrinogen
17
Unique treatment option for SLE and the common one.
Unique: AntiMalarials
Normal: Steroids
18
What do you most need to determine for an infection of Candida?
WHAT IS THE ROOT CAUSE, because it is a commensal organism!
19
Predisposing Factors (causing) candida (6)
1. *Systemic antibiotics
2. Steroids
3. Dentures
4. Dry Mouth
5. Diabetics
6. Immunosuppressed HIV
20
Pseudomembranous Candidiasis
-3 People likely to get this type
1. Oldies
2. Youngens
3. Asthmatics (steroid Inhalers)
21
Pseudomembranous Candidiasis
-Condition of underlying skin when attempted to wipe off
-The skin underneath is Red, ulcerated and/or eroded
22
Median Rhomboid Glossitis
-Location(s)* 1-->2
Midline of tongue, THIS OFTEN SPREADS TO THE PALATE, this is called a Kissing LESION.
23
Treatments for Candidiasis (3)
-One is specifically for the Angular Cheilitis
1. Nystatin, 2. Clotrimazole, ***Iodoquinol/Hydrocortisone for Angular Cheilitis
24
Oral Submucous Fibrosis (OSF)
-affects epithelial layer or C.T.
BOTH muthertruckers!
25
Oral Submucous Fibrosis
-Is this safe or premalignant?
Premalignant, NOT FREAKING SCLERODERMA
26
Oral Submucous Fibrosis
-Clinical features (3)
1. Trismus, 2. Pain, 3. Pale Mucosa (a white hue)
27
Oral Submucous Fibrosis
-Histopath (3)
1. Hyperkeratosis!
2. DENSE Collagen in C.T.
3. Chronic inflammation
28
