By Richard C.K. Jordan, Michael A.O. Lewis
A accomplished advisor to prognosis and therapy of oral problems;superb color illustrations built-in all through - combining some great benefits of an atlas with a brief text/reference;symptoms-based approach;one situation according to web page or web page spread.
content material: PREFACE; ACKNOWLEDGEMENTS; ABBREVIATIONS; 1 creation; 2 ULCERATION; three BLISTERS; four WHITE PATCHES; five ERYTHEMA; 6 SWELLING; 7 PIGMENTATION (INCLUDING BLEEDING); eight OROFACIAL ache (INCLUDING SENSORY AND MOTOR DISTURBANCE); nine DRY MOUTH, extra SALIVATION, covered TONGUE, HALITOSIS, and adjusted style; INDEX.
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Extra info for A Colour Handbook of Oral Medicine
A short course of systemic steroid therapy may be required to alleviate acute symptoms in cases involving widespread ulceration, erythema, and pain. Other drugs used in lichen planus include ciclosporin (cyclosporin) mouthwash, topical tacrolimus, and systemic mycophenolate (Chapter 4, p. 60). 65 66 35 36 ULCERATION Lichenoid reaction ETIOLOGY AND PATHOGENESIS Lichenoid reactions are so-named because of the similarity, both clinically and histologically, to lichen planus. Systemic drugs, especially antihypertensives, hypoglycemics, and non-steroid anti-inflammatory agents, have been implicated in lichenoid drug reactions.
Although blistering disease may develop at any age, the conditions may be divided into those occurring in younger individuals and those seen most frequently in adults or the elderly (Table 2). Table 2 Patterns of blistering Blistering conditions in children or young adults • Primary herpetic gingivostomatitis • Recurrent herpes simplex infection – labialis • Recurrent herpes simplex infection – oral ulceration • Chickenpox • Hand, foot, and mouth disease • Herpangina • Mucocele Blistering conditions in adulthood or the eldery • Shingles • Erythema multiforme • Pemphigoid • Pemphigus • Linear IgA disease • Dermatitis herpetiformis • Angina bullosa hemorrhagica Primary herpetic gingivostomatitis ETIOLOGY AND PATHOGENESIS This condition has been exclusively attributed to infection with herpes simplex virus (HSV) type I, although it is now recognized that HSV type II, traditionally associated with genital herpes, may occasionally be involved.
Chair-side kits that can rapidly detect within minutes the presence of HSV in a PRIMARY HERPETIC GINGIVOSTOMATITIS lesional smear using immunofluorescence are available, but their routine use is limited by cost. Biopsy is rarely necessary but if undertaken will show non-specific vesculation or ulceration with multinucleated giant cells representing viralinfected keratinocytes. MANAGEMENT Patients, and in the case of children usually their parents, should be reassured about the basis of the condition and advised of the infectious nature of the lesions.
A Colour Handbook of Oral Medicine by Richard C.K. Jordan, Michael A.O. Lewis