diagnosis challenge
white oral mucosal lesions diagnosis
Made by @nouha
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1: Which condition is most frequently present as bilateral and spongy white lesions on the buccal mucosa?
35s
Leucoedema
Dyskeratosis Congenita
White Sponge Nevus
Hereditary Benign Intraepithelial Dyskeratosis
2: What key criteria of oral lesions differentiate White Sponge Nevus (WSN) from Dyskeratosis Congenita (DC) in a child ?
35s
DC is characterised by oral leukoplakia and nail dystrophy
Spongy and symetrical white lesions in WSN
Lesions of WSP are symptomatic
The palatal and gingival mucosa are always affected in case of WSN.
3: What is the most likely diagnosis?
20s
Oral Lichen Planus
Coated tongue
Morsicatio linguarum
Benign migratoty glossitis
4: Which conditions should be considered in the differential diagnosis of this lesion?
35s
Oral Lichen Planus
Oral leucoplakia
Frictional keratosis
Lichenoid contact reaction
5: Which clinical feature is most characteristic of this lesion?
20s
Wickham striae
reticular pattern
bilateral lesions
6: The non-homogeneous form of oral leukoplakia has a regular, smooth whitish surface and well-defined margins.
20s
True
False
7: Identify the main characteristics of oral leukoplakia in this image.
45s
Uniform, slightly stiff white plaque
Can be removed by scraping
Without peri-lesional inflammation
8: which type of biopsy is recommended for this case?
20s
excision biopsy
incisional biopsy
9: What is the most likely diagnosis ?
25s