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Periodontics II
Mucocutaneous Disorders
| Question | Answer |
|---|---|
| Diverse diseases affect what? | skin and or mucous membranes |
| To determine correct treatment, what must be done? | diagnosis and have an understanding of the underlying etiology |
| What does treatment typically focus on? | alleviating clinical signs and symptoms and preventing the spread of disease |
| What are Bullous Pemphigoids? | large fluid filled blisters |
| When do Bullous Pemphigoids occur? | immune system attacks a thin layer of tissue (outer tissue) of the skin |
| How is Bullous Pemphigoids identified? | intense and dequamation (shedding) of the surface epithelium of the attached gingiva |
| What age is mild clinical manifestations of Bullous Pemphigoids frequent in? | 17-23 yrs old |
| What is diffused throughout the gingiva in mild Bullous Pemphigoids? | erythema |
| The margins and attached gingiva look like what in moderate Bullous Pemphigoids? | patchy, red, and gray areas of the margins smooth, shiny, of soft consistency |
| What age is moderate clinical manifestations of Bullous Pemphigoids frequent in? | 30-40 yrs old |
| What is the "key" to Chronic Desquamative Gingivitis? | a burning sensation |
| Epithelial tissue of moderate clinical manifestations of Bullous Pemphigoids does what? | sloughs off all mucosa |
| What does the epithelial tissue of severe clinical manifestations of Bullous Pemphigoids do? | peels off |
| What are some of the characteristics of severe clinical manifestations of Bullous Pemphigoids? | denuded, (stripped or bare) areas, red and speckled gingiva |
| What are some symptoms of severe clinical manifestations of Bullous Pemphigoids? | painful, dry, burning sensation |
| What can separations of epithelium and connective tissue resemble? | pemphigus (blisters) or Lichen planus |
| What is the treatment for Chronic Desquamative Gingivitis? | hydrogen peroxide, soft tooth brush, topical corticosteroids, steroids, nutritional supplements |
| Lichen planus has a form of what | ring |
| Inflammatory disease of the skin and mucous membranes of Lichen plaus may be what? | confined to skin and or the mucous membranes |
| How is the skin condition of Lichen planus identified? | eruption of flat, taught, shiny, violet papules on flexor surfaces, male genitalia, mucosa of oral cavity |
| What does flexor surfaces mean? | parts of the skin that touch when a joint is bent |
| How is the oral condition of Lichen planus identified? | diagnosis can be difficult |
| What does the oral condition of Lichen planus involve? | friction which causes or increases the severity |
| T or F, Lichen planus lesions can be caused by emotional stress? | True |
| Lichen planus is? | An autoimmune disease |
| What do skin lesions cause? | pruritus (itching) |
| What do the Lichen planus lesions look like? | grayish, white, lacy patches |
| What is Chronic Discoid Lupus Erythematous? | a photosensitive eruption which can be localized or widespread |
| How does Chronic Discoid Lupus Erythematous manifest itself? | red scaly patched that leave scares that can itch or be painful |
| What areas does Chronic Discoid Lupus Erythematous affect? | sun exposure areas |
| What does pemphigus do? | separates individual prickle cells from their neighbors as in keratosis |
| What does BMMP stand for? | Benign Mucous Membrane Phemphigoid |
| What is the treatment of Lichen Planus? | hydrogen peroxide rinses, steroids |
| Bullous Pemphigoid lesions are... | present in only 10% of cases |
| What is the treatment of Bullous Pemphigoids? | systemic corticosteroids |
| Cicatricial Pemphigoid is a .... | rare, autoimmune, blistering sub-epithelial disease |
| The skins is involved in what percent of Cicatrical Pemphigoid cases that result in scaring? | 20 |
| How are the Cicatrical Pemphigoid tissues usually characterized? | erosive skin lesions |
| T or F, Cicatrical Pemphigoid results in frequent eye lesions; which can lead to blindness | True |
| What gender and age group does Cicatrical Pemphigoid usually affect? | Females, 40-70 yrs old |
| What is usually the best way to diagnose Cicatrical Pemphigoid? | Biopsy |
| What is the treatment of Cicatrical Pemphigoid? | systemic corticosteroids, sometimes topical |
| What is Pemphigus Vulgaris? | autoimmune bullous ( blister) disorder |
| T or F, Pemphigus Vulgaris is first generalized and then localized? | False, localized and then generalized |
| What are important concepts to know of Pemphigus Vulgaris lesions? | easily break, hard to heal, and potentially lethal |
| What is another name of the Stevens-Johnson Syndrome? | Erythema Multiforme |
| What is Erythema Multiforme associated with? | allergies, seasonal changes, drug sensitivities, or stress |
| What is Erythema Multiforme? | severe inflammatory eruption following respiratory infection or an allergic reaction to drugs or other substances. |
| What is recurrent Erythema Multiforme consist of? | chill then fever and can last from 10 days to weeks |
| What percent of Erythema Multiforme cases have oral lesions? | 80 |
| What do Erythema Multiforme lesions appear like? | target like |
| What is the treatment of Erythema Multiforme? | systemic steroids |
| Why are Erythema Multiforme lesions target like? | dark red or purple macules that involve the tongue or lips that can be painful, also surrounded by wheals (rings) |
| What does wheals mean? | Rings |
| What is Lupus Erythematosus? | autoimmune disease that contains chronic and acute types |
| T or F, Lupus Erythematous has periods of remission and exacerbation? | True |
| When are Lupus Erythematous lesions present? | in acute type |
| What percent of chronic patients with Lupus Erythematous have oral lesions? | 10 |
| What percent of acute patients with Lupus Erythematous have oral lesions? | 75 |
| How many more times is Lupus Erythematous more common in women than in males? | 5 |
| What are the characteristics of the Chronic Lupus Erythematous lesions? | white with red usually on buccal mucosa. |
| What are the characteristics of the chronic Lupus Erythematous lesions on the tongue? | denuded (striped or bare) or leukoplakic patches |
| What are the characteristics of the acute Lupus Erythematous lesions? | usually more with greater destruction |
| What is the treatment of Lupus Erythematous? | corticosteriods, antimalarial, bismuth, gold, and ACTH |
| What would you want to avoid when treating Lupus Erythematous? | exposure to sun |
| What is Stomatitis Medicamentosa? | allergic inflammatory changes in oral soft tissue |
| What is Stomatitis Medicamentosa associated to? | use of drugs or medicaments, usually those taken systemically. |
Created by:
daisenmurray
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