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Gastro

This document discusses conditions of the mouth, including leukoplakia, a pre-malignant oral lesion that presents as a white patch that does not rub off and has a transformation rate to cancer of 0.6-18%, requiring referral. Oral hairy leukoplakia presents as a shagry white patch on the tongue seen in HIV. Angular cheilitis causes cracking at the mouth corners due to issues like dentures, candidiasis, or nutrient deficiencies like iron or riboflavin. Leukoplakia on the tongue or inner cheek appears as a white fur over erythema and may be related to factors like age, diabetes, antibiotics, immunosuppression, or

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Benjamin Ng
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50 views2 pages

Gastro

This document discusses conditions of the mouth, including leukoplakia, a pre-malignant oral lesion that presents as a white patch that does not rub off and has a transformation rate to cancer of 0.6-18%, requiring referral. Oral hairy leukoplakia presents as a shagry white patch on the tongue seen in HIV. Angular cheilitis causes cracking at the mouth corners due to issues like dentures, candidiasis, or nutrient deficiencies like iron or riboflavin. Leukoplakia on the tongue or inner cheek appears as a white fur over erythema and may be related to factors like age, diabetes, antibiotics, immunosuppression, or

Uploaded by

Benjamin Ng
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Gastroenterology

MOUTH

I. LEUCOPLAKIA
 This is an oral mucosal white patch that won’t rub off. Not attributable to other dz.
 Pre-malignant lesion w high transformation rate (0.6-18%). Therefore refer all white oral lesions.
 Oral hairy leucoplakia is shaggy white patch on side of tongue, seen in HIV.  

 of white intra-oral lesions:


Idiopathic keratosis Aphthous stomatitis CA
Secondary syphilis Lichen planus Poor dental hygiene
Smoking SLE Candidasis

II. LEUCOPLAKIA
 White fur on erythematous tongue or buccal membrane.
 RF: extremes of age, DM, ABx, immunosuppression (steroids INH), cytotoxic, malignancy, HIV. If
in an apparently fit patient  HIV.
 Bleeds if scraped.
 Tx: nystatin suspension swill & swallow; or amphotericin lozenges. Fluconazole if oropharyngeal trush.

III. CHEILITIS (ANGULAR STOMATITIS)


 Fissuring of the mouth corners caused by denture problems, candidiasis, Fe & B2 (riboflavin) def.

See pathoma: H+N

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Gastroenterology

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