Oral lesions: Difference between revisions
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== Overview == | == Overview == | ||
In many cases, mouth sores are attributed to [[herpes simplex virus]] and idiopathic [[aphthous stomatitis]]. Oral lesions can be indicative of a more serious underlying condition. A full review of the systems and a full skin exam are necessary to obtain an accurate diagnosis. | In many cases, mouth sores are attributed to [[herpes simplex virus]] and idiopathic [[aphthous stomatitis]]. Oral lesions can be indicative of a more serious underlying condition. A full review of the systems and a full skin exam are necessary to obtain an accurate diagnosis. | ||
== | ==Causes== | ||
===Causes in Alphabetical Order<ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN=== 140510368X</ref> | |||
*[[Agranulocytosis]] | *[[Agranulocytosis]] | ||
*[[Aphthous stomatitis]] | *[[Aphthous stomatitis]] | ||
| Line 37: | Line 19: | ||
*Self limited viral disease | *Self limited viral disease | ||
*[[Squamous cell carcinoma]] | *[[Squamous cell carcinoma]] | ||
== Diagnosis == | == Diagnosis == | ||
=== History and Symptoms === | === History and Symptoms === | ||
Revision as of 16:02, 6 May 2013
Template:Search infobox Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
In many cases, mouth sores are attributed to herpes simplex virus and idiopathic aphthous stomatitis. Oral lesions can be indicative of a more serious underlying condition. A full review of the systems and a full skin exam are necessary to obtain an accurate diagnosis.
Causes
===Causes in Alphabetical Order[1] [2]
- Agranulocytosis
- Aphthous stomatitis
- Allergic contact dermatitis
- Behcet's disease
- Bollus disease
- Chemotherapy drugs
- Erythema multiforme
- Herpes stomatitis
- Histoplasmosis
- Primary syphilis
- Self limited viral disease
- Squamous cell carcinoma
Diagnosis
History and Symptoms
- Past medical/medicinal history
- If the lesions occur in the same locations every time, culpit is HSV
- Consider the patients sexual history
- evaluate open and mucosal lesions
- lichen planus - lacy white plaques
Laboratory Findings
- culture for HSV-1
- RPR
- CBC
- punch biopsy
Treatment
Acute Pharmacotherapies
- Orabase and topical steroids can increase speed of healing
- Aphthous stomatitis - intralesional triamcinalone injections
- HSV (recurrent) - acyclovir
- Bollous disease - corticosteroids