Download A Colour Handbook of Oral Medicine by Richard C.K. Jordan, Michael A.O. Lewis PDF

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By Richard C.K. Jordan, Michael A.O. Lewis

A complete consultant to prognosis 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 situation according to 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 ache (INCLUDING SENSORY AND MOTOR DISTURBANCE); nine DRY MOUTH, extra SALIVATION, covered TONGUE, HALITOSIS, and changed flavor; INDEX.
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A complete advisor to analysis and remedy of oral difficulties; excellent color illustrations built-in all through - combining the benefits of an atlas with a quick text/reference; symptoms-based Read more...

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Extra info for A Colour Handbook of Oral Medicine

Example text

Skin lesions may or may not be present. Pemphigus vulgaris is usually a disease of older people, with females being more affected than males. The oral mucosa is involved initially in about 50% of cases of pemphigus vulgaris, and indeed oral involvement can precede involvement at other sites. Most cases are pemphigus vulgaris since pemphigus vegetans is extremely rare. DIAGNOSIS Attempts to demonstrate Nikolsky’s sign (mucosa lifting from the underlying connective tissue on pressure) should be resisted due to the production of further lesions.

Reactivation of HSV can also produce recurrent intra-oral ulceration. Similar to herpes labialis, the patient with an intra-oral lesion is usually aware of prodromal tingling. The mucosa of the hard palate is the site most frequently involved (82, 83) but other areas such as the lower buccal sulcus or gingival margins (84) can also be affected. It can be difficult to determine whether the lesion(s) were precipitated by trauma in these patients or whether they chronically shed HSV in their saliva which subsequently colonizes traumatized mucosa.

A clinical history of BMT coupled with oral lesions may lead one to suspect GVHD; however, biopsy material is frequently nonspecific or may resemble lichen planus or lupus erythematosus. MANAGEMENT The most important management strategy is prevention. Careful HLA matching of BMT donor and recipient is important. Modulation of the immune response in the recipient is necessary, using immunosuppressive medications such as ciclosporin (cyclosporin). Psoralen and ultra-violet A (PUVA) therapy is helpful for cutaneous lesions.

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