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White sponge nevus (WSN) is an extremely rare autosomal dominant [4] condition of the oral mucosa (the mucous membrane lining of the mouth). It is caused by one or more mutations in genes coding for keratin , which causes a defect in the normal process of keratinization of the mucosa.
The most common appearance of hyperplastic candidiasis is a persistent white plaque that does not rub off. The lesion may be rough or nodular in texture. [10] Hyperplastic candidiasis is uncommon, accounting for about 5% of oral candidiasis cases, [8] and is usually chronic and found in adults.
The lesion is a white patch, which almost exclusively occurs on the lateral surfaces of the tongue, although rarely it may occur on the buccal mucosa, soft palate, pharynx or esophagus. [5] The lesion may grow to involve the dorsal surface of the tongue. The texture is vertically corrugated ("hairy") or thickly furrowed and shaggy in appearance.
Red lesions (erythroplasia) and mixed red and white lesions (erythroleukoplakia/"speckled leukoplakia") have a higher risk of malignant change than homogeneous leukoplakia. [15] Verrucous or nodular areas have a higher risk. [3] Although smoking increases risk of malignant transformation, smoking also causes many white patches with no dysplasia ...
The lesions are harmless; no treatment is indicated beyond reassurance unless the person requests it. The most common and simple treatment is the construction of a specially made acrylic prosthesis that covers the biting surfaces of the teeth and protects the cheek, tongue, and labial mucosa (an occlusal splint). This is either employed in the ...
Transient lingual papillitis is generally diagnosed based on patient presentation, meaning where it is located in the mouth and how big the bump is. [8] The visual presentation can also accompany various signs and symptoms such as difficulty eating, having a "strawberry tongue", increased saliva production, and a burning or tingling sensation. [9]
Leukoedema lesions disappear when the mucosa is stretched, which helps to differentiate it from other white lesions in the mouth. [2] The differential diagnosis is with leukoplakia , oral candidiasis , oral lichen planus , white sponge nevus , morsicatio buccarum , [ 3 ] hereditary benign intraepithelial dyskeratosis and dyskeratosis congenita.
A lesion of geographic tongue may start as a white patch before the depapillation occurs. [4] In certain cases there may be only one lesion, but this is uncommon; [ 4 ] the lesions will typically occur in multiple locations on the tongue and coalesce over time to form the typical map-like appearance.
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