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Lecture 1 - Developing a Differential diagnosis
White Lesions: Cannot be scraped off
20
Pathology
Post-Graduate
01/19/2012

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Cards

Term
Linea alba
Definition
Buccal mucosa along occlusal plane
Term
Leukoedema
Definition
Primarily in blacks, milky white alteration of buccla mucosa bilaterally, disappears when stretched
Term
Leukoplakia
Definition
May show benign hyperkeratosis, epithelial dysplasia or invasive carcinoma
Term
Tobacco pouch keratosis
Definition
Usually in mandibular vestibule; associated with use of snuff or chewing tobacco
Term
Actinic cheilosis
Definition
Pale, gray-white, scaly alteration of lower lip; usually in older men with history of chronic sun exposure, precacerous.
Term
Linchen planus
Definition
Wickham's striae; typically bilateral on buccal mucosa
Term
Morsicatio
Definition
Most common on anterior buccal mucosa, labial mucosa, and lateral border of tongue; exhibits ragged surface
Term
White coated tongue
Definition
Diffuse involvement of doral tongue
Term
Nicotine stomatitis
Definition
Usually associated with pipe smoking, occurs on hard palate
Term
Hairy leukoplakia
Definition
Usually lateral border of tongue, rough surface with vertical fissures; usually associated with HIV infection
Term
Hyperplastic candidiasis
Definition
Most commonly affects anterior buccal mucosa
Term
Lupus erythematosus
Definition
Most common on buccal mucosa; may mimic lichen planus or leukoplakia, associated skin lesions usually present
Term
Skin graft
Definition
History of previous surgery
Term
Submucous fibrosis
Definition
More common in Asia, associated with betel quid chewing
Term
White sponge nevus
Definition
Hereditary; onset in childhood; generalized lesions, especially buccal mucosa
Term
Hereditary benign intraepithelial dyskeratosis
Definition
Hereditary, onset in childhood, generalized lesions, especially buccal mucosa; ocular involvment possible
Term
Pachyonychia congenita
Definition
Hereditary, onset in childhood, most common on dorsal tongue and areas of trauma; nail, palmar, planter changes also present
Term
Dyskeratosis congenita
Definition
Hereditary; onset in childhood, dystrophic nail changes
Term
Tertiary syphilis
Definition
Syphylitic glossitis
Term
Uremic stomatitis
Definition
Renal failure
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