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benign migratory glossitis?From: Ashia Nausheen <ashi_span@...>" " < >Sent: Friday, September 30, 2011 2:23 AMSubject: Re: New

case

Hi,Is it geographic tongue ?From: Alena Ozieva <alenaozieva@...>" " < >Sent: Thursday, September 29, 2011 1:40 PMSubject: New case [1

Attachment]

Hi guysPrevious case was an Amalgam tatoo.Thank you for taking a part in the caseNow is a different case.Please outline the diagnosisDTP and underlying conditionsPt complains of a sore tongue,burning sensation and red patches which are moving from one to another area of the tongue.on examination:irregular, smooth red areas, which may look like the outline of a

map....Best

regardsAlenaOzieva

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geographic tongue From: ashi_span@...Date: Thu, 29 Sep 2011 13:53:19 -0700Subject: Re: New case

Hi,Is it geographic tongue ?From: Alena Ozieva <alenaozieva@...>" " < >Sent: Thursday, September 29, 2011 1:40 PMSubject: New case [1 Attachment]

Hi guysPrevious case was an Amalgam tatoo.Thank you for taking a part in the caseNow is a different case.Please outline the diagnosisDTP and underlying conditionsPt complains of a sore tongue,burning sensation and red patches which are moving from one to another area of the tongue.on examination:irregular, smooth red areas, which may look like the outline of a

map....Best

regardsAlenaOzieva

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  • 2 months later...

Clinical Diagnosis:

Apthous ulcer

Reason:

Primary herpes simplex occurs in infancy or childhood so it is automatically taken out.

Herpes simplex recurrent 1) Occurs in same location, there are prodromal symptoms and usually other parts of body are also involved.

shingles or herpes zoster affects the nerve, so usually that side is effected alongwith other symptoms in regards to the nerve.

Erosive Lichen planus - the only difference between erosive lichen planus and apthous ulcer/stomatitis is that in erosive lichen planus the area is larger, more irregular and the lesions persist for longer durations

Confirmation of Diagnosis:

Blood cell count seems the most probably answer to rule out any other conditions causing the apthous stomatitis. Because there seems to be a recurrance. Apart from this other tests done for Apthous ulcers can be Eosinophil, Sedimentaition rate, Ferritin, Folate and Vit B12.

True or False

True - No specific workup is required

True - Patient has a case of minor recurrent apthous ulcers since these are most common and this cant be herpetiform or major apthous ulcer.

False - Apthous ulcer is NOT an infectious condition

False - RAU is an autosomal recessive entity

Statements true about apthous stomatitis

Exceed 2mm (3-5mm)

Characteristically they are found on movable mucosa (cheeks, lips, tongue and roof of mouth)

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oh.....its typing mistake apthous ulcers are nt autosomal recessive trait.and thanks dr irfan for detailed explanation and i certainly agree with u. From: Kanika Kohli <kanika_sahil@...> " " < > Sent: Thursday,

8 December 2011 11:13 AM Subject: Re: New case

Hi according to meIts recurrent apthous ulcers2. E3. T T F T4.DCorrect me if i am wrong. From: Dr Avery <avery_dr@...> " " < > Sent: Thursday, 8 December 2011 9:37 AM Subject: New case

Our appreciation is extended to Ines Velez, DDS, MS, for contributing this

case. History: A 24-year-old man with the

chief complaint of "My mouth is hurting." Patient has an unremarkable medical history and no known allergies; is not taking any

medication. Intraoral exam: Patient has two lesions on the ventral tongue/floor of the mouth. The lesions are flat, covered by a gray membrane and surrounded by an erythematous halo. Patient states that the lesions appeared five days previously with a burning sensation and are extremely painful. He once had similar lesions on the buccal mucosa several years before. There are no lesions in any other part of his body. Click images below to enlarge.

The clinical diagnosis is which of the following?AHerpes simples, recurrent

BPrimary herpes simplex

CHerpes zoster

DAphthous ulcers

EErosive lichen planus

To confirm the diagnosis, which of the following should be done?ABrush biopsy

BExcisional biopsy

CToluidine blue test

DBlood cell count

ENone of the above Please answer the following with TRUE or FALSE.T or F No specific workup is required because the clinical presentation is enough to diagnose the condition.T or F This patient has a case of recurrent minor aphthous ulcers (RAU).T or F Aphthous stomatitis is an

infectious condition.T or F RAU is an autosomal recessive entity.

Which of the following statements about minor aphthous ulcers is true?AThey exceed 2.0 mm in diameter.

BThey last about one month.

CThey leave a scar.

DCharacteristically, they are found on movable mucosa.

EAll of the above. Kind regardsLee

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