By Richard C.K. Jordan, Michael A.O. Lewis
A complete advisor to analysis and remedy of oral problems;superb color illustrations built-in all through - combining some great benefits of an atlas with a brief text/reference;symptoms-based approach;one consistent with web page or web page spread.
content material: PREFACE; ACKNOWLEDGEMENTS; ABBREVIATIONS; 1 advent; 2 ULCERATION; three BLISTERS; four WHITE PATCHES; five ERYTHEMA; 6 SWELLING; 7 PIGMENTATION (INCLUDING BLEEDING); eight OROFACIAL ache (INCLUDING SENSORY AND MOTOR DISTURBANCE); nine DRY MOUTH, extra SALIVATION, covered TONGUE, HALITOSIS, and adjusted flavor; INDEX.
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Additional info for A Colour Handbook of Oral Medicine
DIAGNOSIS Clinical diagnosis of oral lichen planus is aided by the presence of cutaneous lesions. If the main presenting feature is ulceration, further examination is likely to reveal areas of white patch or striae at other oral mucosa sites. 64 64–66 Erosive lichen planus presenting as ulceration in the buccal mucosa and floor of mouth. 5 mg) allowed to dissolve on the affected area 2–4 times daily. Other preparations of topical steroid therapy, such as sprays, mouthwashes, creams, and ointments have been found to be beneficial for some patients.
Adjunctive azathioprine and cyclophosphamide have an important role in management since these drugs allow the dose of steroid to be reduced. Because pemphigus is a lifelong disease, therapy cannot be discontinued. Occasionally complications of long-term steroid therapy, such as cataracts and duodenal ulcers, can develop, and these need appropriate investigation and treatment. PEMPHIGUS 113 113–115 Extensive erosions of pemphigus vulgaris. 114 115 116 116 Bulla of pemphigus. 117 H & E stain of a biopsy of mucosa showing an intra-epithelial split.
CLINICAL FEATURES Dermatitis herpetiformis is a rare chronic disease characterized by the development of crops of blisters on the skin or oral mucosa, which may be preceded by erythematous patches (120, 121). Lesions are exceedingly pruritic. As the name implies, there is a clinical similarity to herpetic lesions. Oral lesions are occasionally the first manifestation of the condition. DIAGNOSIS Histologic features are nonspecific but direct immunofluorescence will reveal a granular deposition of IgA along the basement membrane zone.
A Colour Handbook of Oral Medicine by Richard C.K. Jordan, Michael A.O. Lewis