By Richard C.K. Jordan, Michael A.O. Lewis
A accomplished advisor to analysis and therapy of oral problems;superb color illustrations built-in all through - combining the benefits of an atlas with a brief text/reference;symptoms-based approach;one in keeping with 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 soreness (INCLUDING SENSORY AND MOTOR DISTURBANCE); nine DRY MOUTH, extra SALIVATION, covered TONGUE, HALITOSIS, and adjusted style; INDEX.
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Additional info for A Colour Handbook of Oral Medicine
Hand, foot, and mouth disease is usually caused by Coxsackie virus type A16 but may also be due to infection with types A4, A5, A9, and A10. CLINICAL FEATURES As the name of the condition implies, the characteristic distribution of lesions involves macular and vesicular eruptions on the hands (88), feet (89), and mucosa of the pharynx, soft palate, buccal sulcus, and tongue (90). Signs and symptoms are usually asymptomatic and resolve within 7–10 days. 89 DIAGNOSIS Diagnosis is based on the clinical findings and history.
In addition, the gingivae are swollen and erythematous (79). The condition is associated with pyrexia, headache, and cervical lymphadenopathy. DIAGNOSIS Isolation and culture of HSV using a viral swab is the standard method of diagnosis. Confirmation of HSV infection can also be made serologically by the demonstration of a fourfold rise in antibody titer in acute and convalescent samples. Both these methods may take 10 days to provide a result. 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.
MANAGEMENT In the absence of any platelet deficiency the patient should be reassured and given an antiseptic mouthwash. 122 123 122 Angina bullosa hemorrhagica in the palate. 123 Angina bullosa hemorrhagica on the tongue. 124 125 124, 125 Bullae of ABH rupture early to leave blood at the periphery of the lesion. Chapter Four White Patches • General approach • Lichen planus • Lichenoid reaction • Lupus erythematosus • Chemical burn • Pseudomembranous candidosis (thrush, candidiasis) • Chronic hyperplastic candidosis (candidal leukoplakia) • White sponge nevus • Dyskeratosis congenita • Frictional keratosis • Nicotinic stomatitis (smoker’s keratosis) • Leukoplakia • Squamous cell carcinoma • Skin graft • Hairy leukoplakia • Pyostomatitis vegetans • Submucous fibrosis 59 60 WHITE PATCHES General approach • White patches may develop within the oral mucosa due to trauma, infection, immunerelated disease or neoplasia.
A Colour Handbook of Oral Medicine by Richard C.K. Jordan, Michael A.O. Lewis