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O-18 Clinical Overview White LesionsпїЅcontпїЅd Disease Clinical Features Cause Signifcance Lichen planus Bilateral white striae (Wick Unknown; could also be precipitated May regress after many years; hamпїЅs); asymptomatic by stress; may be hyperim therapy might only control except when erosions are mune situation mediated by disease; rare malignant present; seen in middle age; T cells transformation buccal mucosa most com monly affected, with lesions occasionally on tongue, gin giva, and palate; skin/genital lesions often present and are purple pruritic pap ules; forearm and lower leg mostly affected pores and skin websites Dentifrice-associated slough Asymptomatic, slough of flmy Mucosal response to compo None parakeratotic cells nents in toothpaste Candidiasis Painful elevated plaques that Opportunistic fungus: Candida Usually disappears 1-2 weeks can be wiped off, leaving albicans and barely different after treatment; some eroded, bleeding floor; Candida species persistent cases require associated with poor lengthy-time period therapy hygiene, systemic antibiot ics, systemic disease, debili tation, lowered immune response; continual infection might result in erythematous mucosa without obvious white colonies; frequent Mucosal burns Painful white fbrin exudate Chemicals (aspirin, phenol), Heals in days to weeks masking superfcial ulcer warmth, electrical burns with erythematous ring; common Submucous fbrosis Areas of opacifcation with loss May be because of hypersensitivity Irreversible; predisposes to of elasticity; any oral region to dietary constituents oral cancer in about 10% of affected; rare similar to areca (betel nut), cases capsaicin Continued Clinical Overview O-19 пїЅ Figure 25 Lichen planus allergy website generic astelin 10 ml free shipping. 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