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Cheilitis
Cheilitis - inflammation of the lips (usually the lower
Duration - acute, chronic
Clinical and morphological forms
exfoliative - epithelial desquamation red border, chronic, with
exacerbations redness, swelling, crusting
glandular - congenital hypertrophy and heterotopia minor
salivary glands (and infection) - the mouth of the gland to 0.1 cm
inside the mouth with saliva secretions (pus), chronic
allergic - Acute
Meteorological and actinic - in response to cold, heat, wind,
ultraviolet irradiation, humidity, dry air, etc. -. redness, itching,
burning, sharp
Abrasive (Manganotti) - in men older than 50 years on the lower
lip - hyperemia, erosion crusts, chronic. obligate precancer
Secondary - eczema, infections, endocrine and other diseases.
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Exudative erythema multiforme
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,
,
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GLOSSITES
Duration - acute, chronic, with acute exacerbation
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Thrush
Risk Factors - immunodeficiency (primary, HIV, cancer,
chemotherapy, hormone therapy, diabetes, and others.)
Thrush - sharp, more often in children with HIV infection,
chemotherapy. White patches on the cheeks, the oropharynx, the side
edges of the tongue, mushrooms, desquamated epithelium, keratin,
fibrin with an admixture of neutrophils. Pseudomembranous removed
- a painful ulcer, erosion
Atrophic, hypertrophic - chronic. Median rhomboid glossitis - actinic
atrophy with papillomatous growths in the middle of the tongue back,
acanthosis.
Called dentures - chronic under tight unremovable prosthetic.
Erythema, inflammation, swelling, fungi
Angular - in the corners of the mouth. Chronic. Erythema, cracks,
peeling
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Mucocutaneous THRUSH (Oral,
extraoral)
Clinical and anatomical forms
Diffuse - a heavy defeat of the skin, oral
mucous membranes, respiratory tract
Family - a hereditary disease. In children,
thrush becomes chronic leykoplakichesky
candidiasis. easy for with endocrine
disorders - DiGeorge syndrome, MEN type 1
Late - rare, combined with thymoma,
myasthenia gravis, red cell aplasia, a cellular
immune deficiency
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HIV STOMATITIS
Etiology - secondary infections (fungi, bacteria,
viruses)
Symptoms:
Persistent thrush cheeks and palate, hyperplastic
candidiasis, sky erythema, tongue
Acute necrotizing ulcerative gingivitis
Heavy widespread herpes of the lips, mouth
Hairy (fleecy) leukoplakia - soft white rough spots on
the sides of the tongue, the cheeks less.
Hyperkeratosis, acanthosis, vacuolar degeneration of
epithelial cells with karyopyknosis (koylotsity)
Kaposi's sarcoma - soft palate, gums
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FORMS OF TUBERCULOSIS
Tuberculosis orofacial erythematosus (lupus vulgaris) -
children, young men. The yellowish-red spots up to 0.5 cm, rise
above the skin (rarely vovyshayutsya) from lyupom - granulomas
deep dermis. Variety - flat, hypertrophic (warty), peptic ulcer.
Forms - plain, mutiliruyuschaya (deep ulcers in the tissue, the
cartilage of the nose, ears, followed by disfigurement), lupus-
carcinoma.
Oral lupus - the gums, palate (uvula), lips - red soft spots, then
papillary growths, ulcers, scars
Papules necrotic tuberculosis skin - often in zhenschin15-40 years.
Pink tight knot to 0.5 cm, followed by necrosis, brown crust, white
scar. Occasionally abscesses
Skrofuloderma (kollikvativ tuberculosis) ulcers of tongue,
cheeks, up to 3 cm, dense, painless, movable, then there is
(spayanie with surrounding tissues)
Ulcerative tuberculosis - at the open secondary tuberculosis - a
small single (rarely multiple) ulcer tongue, lips, palate. Can
milliarno-ulcerative form
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Formes of tuberculosis (Robbins et
al..,1999)
1. Primary Tuberculosis
2. Secondary Tuberculosis (Post-
primary, adult of reinfection tbc)
3. Disseminated tuberculosis
Formes of tuberculosis (Strukov A.I.,
Serov V.V.,1999)
1. Primary Tuberculosis
2. Secondary Tuberculosis
(Post-primary)
3. Heamatogeneus tuberculosis
The initial focus of primary infection
(Primary complex, Ghons complex)
The fate of the primary
complex
Major characteristics of the Heamatogeneous
Tuberculosis (Disseminated):
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Benign epithelial tumors of the oral
cavity and skin mucous membranes
Papilloma
acanthoma verrucosum
Keratoacanthoma
Cutaneous horn
Calcifying epithelioma Malerba
Acanthoma adenoides cysticum
Adenoma (arises from sweat or sebaceous
glands)
Papilloma
Definition: Broad-based superficial tumor of branching
villous vascular stroma covered by neoplastic epithelium.
Two forms are differentiated according to the
predominant direction of growth:
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Carcinoima grading
Well differentiated/low grade
closely resembles tissue of origin
Moderately differentiated/intermediate
grade
Poorly differentiated/high grade
difficult to recognise the tissue of
origin
(- )
Localization
Sguamous carcinoma
Language 40%
The bottom of the cavity 30%
Gums and rather palate, cheeks and
red border of the cancer of the lower lip
by 10%
PREMALIGNANCY
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.
Carcinoima grading
Well differentiated/low grade
closely resembles tissue of origin
Moderately differentiated/intermediate
grade
Poorly differentiated/high grade
difficult to recognise the tissue of
origin
Adenocarcinoma
Keloid
Palmar fibromatosis - flexion deformities of
fingers
Juvenile aponeurotic fibroma of palms and
soles in children
Nodular fasciitis of the subcutaneous tissue of
adults
Musculoaponeurotic fibromatosis (desmoid
formation) It grows progressively infiltrating
sur.tisssue
Melanocytic tumors
Benign pigmented naevus or lentigo
(Melanotonic naevus or mole)
Junctional (proliferation is local in the
dermoepidermal junction)
Compound (proliferation is found in the
dermis as well as in the junctional area)
Intradermal (proliferation is wholly in the
dermis)
Displastic pigmented naevus
Malignant Melanoma
Lentigo maligna
Superficial spread melanoma
Acral lentigous melanoma
Nodular malignant melanoma
Classification of melanoma
Superficially spreading melanoma 8743/3
Nodal Melanoma 8721/3
Lentigo melanoma 8742/2
Acral lentiginous melanoma 8744/3
Desmoplastic melanoma 8745/3
Melanoma arising in a blue nevus 8780/3
Melanoma arising in a giant congenital nevus 8761/3
Melanoma in children
Nevoid melanoma 8720/3
Recurrent melanoma or local
The essential features of
malignant melanoma are:
Abnormal melanocytes
Invasion of epidermis
Invasion down into dermis
The prognosis depends on depth of
invasion, measured as follows: