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Smoker's melanosis is seen with the naked eye as a brown to black pigmentation of the oral tissue i.e. the gums, [1] cheeks or palate [2] as well as in larynx. [3] [4] It is most often seen in the lower labial gingiva of tobacco users. Most easily it is found in Caucasians, due to their lack of a genetically caused melanin pigmentation. [5] [6]
Mucormycosis, also known as black fungus, [3] [4] is a severe fungal infection [11] that comes under fulminant fungal sinusitis, [12] usually in people who are immunocompromised. [ 9 ] [ 13 ] It is curable only when diagnosed early. [ 12 ]
Most common oral sites include: buccal mucosa, lips, gums, hard palate or tongue. Intraoral sites are usually seen as the first sign and they usually develop prior to the skin lesions. [11] In developing countries, this disease is often associated with tuberculosis, where the infection can lead to destruction of the adrenal gland. [12]
To check the uvula, a tongue blade is pressed down on the patient's tongue and the patient is asked to say "ah"; the uvula should look like a pendant in the midline and rise along the soft palate. Abnormal findings include deviation of the uvula from the midline, an asymmetrical rise of the soft palate or uvula and redness of either.
Fordyce spots on scrotum Fordyce spots on lips. On the shaft of the penis, Fordyce spots are more visible when the skin is stretched, and may only be noticeable during an erection. [8] The spots can also appear on the skin of the scrotum. [8] Oral Fordyce granules appear as rice-like granules, white or yellow-white in color.
Melasma affects up to 33 percent of men and women. Read on to learn what causes the chronic skin condition and what you can do to keep it at bay.
It often requires a dermatologist to fully evaluate moles. For instance, a small blue or bluish-black spot, often called a blue nevus, is usually benign but often mistaken for melanoma. [23] Conversely, a junctional nevus, which develops at the junction of the dermis and epidermis, is potentially cancerous. [24]
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