Red lesions: vascular lesions

Published on March 30, 2017   33 min

Other Talks in the Series: Oral & Maxillofacial Medicine

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It is my pleasure to speak to you about Red Lesions. This particular presentation will be broken into two parts. Basically, vascular lesions ultimately segueing into autoimmune mediated processes and oral premalignant conditions and squamous cell carcinoma. I'm Dr. Jim Sciubba, I'm a retired professor at the Johns Hopkins School of Medicine, and I'm currently an active consultant at the Milton J. Dance Head & Neck Center here in Baltimore where we see an array of oral pathology and oral medicine problems.
The first topic will be vascular proliferations characterized by lesions of congenital, reactive or neoplastic nature. Various forms of terminology are used throughout this presentation including the commonly seen and noted hemangioma, commonly noted vascular pools or varicosities, some people prefer the term "venous lakes." Intraorally, we will provide you examples of peripheral giant cell granuloma, the common pyogenic granuloma, telangiectases of various forms, and finally the malignant counterpart of many of these vascular lesions, the Kaposi sarcoma. We'll continue with the hypersensitivity lesions including plasmacytic gingivitis, erythema multiforme, minor and major, we'll discuss and present lesions of microbial or infectious origin, chief of which is candidiasis and the various forms of kind of candidiasis including the commonly seen denture sore mouth, angular cheilitis or cheilosis, or sometimes known as perleche, and then papillary epithelial hyperplasia usually seen beneath the maxillary denture base. We will look at a case of syphilis which of course is red in its early phases, and last, the very commonly seen dental plaque related alterations of the attached gingiva. We'll spend a good deal of time on the entity of lichen planus in its various forms, closely related lichenoid mucositis, lupus erythematosus, mucosal pemphigoid, and finally, pemphigus vulgaris. We continue with premalignant lesions of the mucosa and malignant lesions of the mucosa. Erythroplakia, sometimes called erythroplasia characterized by various levels of oral epithelial dysplasia. Speckled leukoplakia where one sees a combination of red and white lesions. And squamous cell carcinoma presenting in a very heterogeneous fashion with our main emphasis here for this purpose on the red component.