ORAL MUCOSA

By Gary M. White, MD

Hemorrhagic Bulla

Angina Bullosa Hemorrhagica
Angina Bullosa Hemorrhagica

Pain

Burning Mouth Syndrome

Papulonodule(s)

Fibroma
Fibroma

Cowden Syndrome
Cowden Syndrome of the Tongue

Crohn's Disease
Crohn's Disease

Focal Epithelial Hyperplasia

Multiple Mucosal Neuroma Syndrome

Pigmentation/Hyperpigmentation/Lentigines

Various drugs may cause pigmentation of the lips, e.g., minocycline pigmentation, minocycline melanosis, amiodarone, bleomycin, cyclophosphamide, antimalarials, and 5-fluorouracil.

Amalgam tattoo

Peutz-Jeghers Syndrome
picture here

Laugier-Hunziker Syndrome
Laugier-Hunziker Syndrome

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.

Nevus

Melanoma

Pustules

Pyostomatitis Vegetans

Red

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.

Ulcers/Erosions/Vesicles

Secondary Syphilis--mucous patches
Secondary Syphilis

Herpangina

Eosinophilic Ulcer

Herpes Simplex

Allergic Contact Dermatitis to dental work/amalgam.

HIV-Related Oral Ulcers

Lichen Planus

Pemphigus Vulgaris

Paraneoplastic Pemphigus
Paraneoplastic Pemphigus

Paracoccidioidomycosis

Systemic Lupus Erythematosus
Systemic Lupus Erythematosus

Granulomatosis with Polyangiitis

Superficial Mucocele
Superficial Mucocele

Aphthous Ulcers
Aphthous Ulcer

Behcet's Disease

Bullous Pemphigoid

Chronic Ulcerative Stomatitis

Mucous Membrane Pemphigoid

Cyclic Neutropenia

Chickenpox

Acatalasia

Hypoplasminogenemia. Oral and ocular ulcerations that have a ligneous (woody) appearance may occur.

Verrucous

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.
Warts in the Mouth

Verruciform Xanthoma

Pyostomatitis Vegetans

Proliferative Verrucous Leukoplakia

White

Thrush
Thrush

Koplik Spots

Leukoedema
Leukoedema

Leukoplakia

Lichen Planus
Lichen Planus

Allergic Contact Dermatitis

Lupus Erythematosus

White Sponge Nevus
White Sponge Nevus

Palate

Palate, Nodule(s)

Torus Palatinus
picture here

Palate, Ulcer(s)

Necrotizing Sialometaplasia

Palate, Vascular

Kaposi's Sarcoma. The palate is a common location for HIV-associated KS.
Kaposi's Sarcoma

Pigmented

Mucosal Melanoma

Tonsils

Tonsils, Yellow, Enlarged

Tangier Disease

RegionalDerm

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