By Gary M. White, MD
Angina Bullosa Hemorrhagica
Burning Mouth Syndrome
Focal Epithelial Hyperplasia
Multiple Mucosal Neuroma Syndrome
Various drugs may cause pigmentation of the lips, e.g., minocycline pigmentation, minocycline melanosis, amiodarone, bleomycin, cyclophosphamide, antimalarials, and 5-fluorouracil.
Pigmentation caused by smoking. Approximately 25% of smokers will have oral pigmentation. Treatment: the erbium YAG laser has been reported effective in treating oral pigmentation including physiologic.
Allergic contact dermatitis
Erythroplakia. A chronic, red, velvety lesion or depression anywhere in the mouth is characteristic. A high percentage (in contrast to leukoplakia) show histologic atypia or frank malignancy.
Secondary Syphilis--mucous patches
Allergic Contact Dermatitis to dental work/amalgam.
HIV-Related Oral Ulcers
Systemic Lupus Erythematosus
Granulomatosis with Polyangiitis
Chronic Ulcerative Stomatitis
Mucous Membrane Pemphigoid
Hypoplasminogenemia. Oral and ocular ulcerations that have a ligneous (woody) appearance may occur.
Warts. HPV may infect the oral cavity causing verrucous lesions. In children, this may be in the form of Heck's disease as shown here. Photograph very kindly provided by Dr. Nikoo Mozafari.
Proliferative Verrucous Leukoplakia
Allergic Contact Dermatitis
White Sponge Nevus
Kaposi's Sarcoma. The palate is a common location for HIV-associated KS.
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