White Lesions of Oral Cavity

Question 1

Only white lesion that can be scraped off

Answer 1

Candidiasis

Question 2

Are ulcers/burns white lesions?
Fordyce granules?
Tonsoliths/sialoliths?

Answer 2

no
no
no

Question 3

White sponge nevus appear when?

Answer 3

birth or early childhood

Question 4

White sponge nevus clinical features?

Answer 4

Symmetric
Thick
White
Velvety plaques

Question 5

White sponge nevus location?

Answer 5

bilateral buccal mucosa or other mucosa

Question 6

White sponge nevus treatment?

Answer 6

none

Question 7

Hereditary benign intraepithelial dyskeratosis (HBID) - rare genetic predisposition

Answer 7

autosomal dominant in triracial white/black/native american

Question 8

Hereditary benign intraepithelial dyskeratosis (HBID) develops when

Answer 8

childhood

Question 9

Hereditary benign intraepithelial dyskeratosis (HBID) seen where

Answer 9

eyes & oral mucosa

Question 10

Hereditary benign intraepithelial dyskeratosis (HBID) appearance?

Answer 10

thick, corrugated white plaques

Question 11

Hereditary benign intraepithelial dyskeratosis complications?

Answer 11

blindness

Question 12

Hereditary benign intraepithelial dyskeratosis treatment?

Answer 12

no treatment for oral, refer to ophtho for eye lesions

Question 13

Pachyonychia congenita appearance?

Answer 13

free margins of nails lined up bc keratinaceous accumulation under nail bed

Question 14

Pachyonychia congenita complications?

Answer 14

may lose nails

neonatal teeth - keratin 17 mutations

Question 15

Dyskeratosis congenita - patients susceptible to what?

Answer 15

aplastic anemia (80%) and SCCA (33%)

Question 16

Dyskeratosis congenita oral involvement?

Answer 16

bullae, erosion, and leukoplakia of tongue and buccal mucosa

Question 17

Dyskeratosis congenita histopath

Answer 17

displasia

Question 18

Dyskeratosis congenita treatment?

Answer 18

followup to check for malignant transformation, anemia

Question 19

Dyskeratosis congenita prognosis

Answer 19

guarded, lifespan short - 32 years

Question 20

Types of frictional hyperkeratosis

Answer 20

Linea alba
Chronic biting injury/morsicatio
Benign alveolar ridge keratosis (BARK)

Question 21

Types of chronic biting injury

Answer 21

Morsicatio buccarium/labiorum/linguarium

Question 22

Frictional hyperkeratosis analogous to what on skin?

Answer 22

callus

Question 23

Frictional hyperkeratosis management?

Answer 23

Re-eval in 2 weeks if reaction etiology suspected AND irreitant is eliminated. Persistent white lesions with no source of irritation must be biopsied.

Question 24

Smokeless tobacco lesions gender disposition?

Answer 24

males mostly

Question 25

smokeless tobacco lesions appearance?

Answer 25

loss of gingiva/perio tissues in sites of tobacco contact Velvety mucosa Gray/white transluscent plaque with indistinct borders

Question 26

Smokeless tobacco lesions leads ot increase risk of what

Answer 26

caries, cancer (26x)

Question 27

Highest risk of cancer with what kind of smokeless tobacco?

Answer 27

Dry

Question 28

Lesions take how long to disappear after cessation?

Answer 28

98% disappear in 2 weeks.

Question 29

Nicotine stomatitis response to what?

Answer 29

heat from smoking

Question 30

nicotine stomatitis malignant potential?

Answer 30

no

Question 31

Nicotine stomatitis apperance?

Answer 31

white keratotic surface on palate, red papules of inflamed salivary glands

Question 32

Nicotine stomatitis treatment?

Answer 32

none

Question 33

Leukoplakia - relationship to oral cancer?

Answer 33

85% of pre-cancers, needs biopsy