黏膜5（Mucosa 5）.docVIP

黏膜5（Mucosa 5） Oral medicine qualification examination, oral medicine - intensive sprint class (teacher Bais lecture) [test analysis] This chapter introduces oral mucosal streak diseases, including oral lichen planus and oral leukoplakia. The main objective of this study is to examine the objective questions and to focus on the contents: 1., the etiology of all kinds of striped disease 2. clinical manifestations and differential diagnosis of various stripe diseases 3. treatment principles of various striped diseases oral lichen planus Hyperkeratosis of the skin and mucous membranes Incidence: 0.1% ~ 4% Predilection for middle-aged people, more women than men Precancerous condition: the rate of canceration is about 1% Pathogeny Unknown etiology Psychological factor Trauma: unemployment, family death, marriage disputes etc. Excessive stress or mental emptiness Endocrine factors: estradiol (E2) decreased Immune factors: T cell-mediated immune response Infection factors: HP, HCV Microcirculatory disturbance: microvascular dilatation, blood stasis and slow flow of blood Genetic factors Other: system diseases, lack of trace elements and so on Clinical manifestation Oral manifestation Can occur in any part of the oral mucosa, often symmetrical Most of the cheeks are seen The lesions varied in manifestations After oral mucosa lesions subsided, pigmentation can be observed Subjective symptoms: irritation and rough discomfort Oral lesion typing: According to the shape of lesion: Mesh type, ring type, stripe type, patch type, papule type, vesicular type, erosive type and atrophic type According to the condition of mucosa at the base of the lesion: Ordinary (non erosive) type Congestive erosive type The reticulate type The ring type The papule type The plaque type The atrophic type The blister type The erosive Skin lesion Purplish red, flat papules, small papules, small white spots or pale reticulate white stripes, i.e., Wickham lines With limbs extending side, see more, more or