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Spot Diagnosis

Discussion in 'Spot Diagnosis' started by neo_star, Dec 28, 2012.

  1. neo_star

    neo_star Moderator

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    identifythelesion_zpsea7975fa.jpg

    Can you identify the etiology ?

    Hint - this patient is HIV positive

    Differentials are welcome
    .
     

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  2. Xerxles

    Xerxles Famous Member

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    syphilis
     

  3. neo_star

    neo_star Moderator

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    Hint : It's caused by a virus.
     

  4. Xerxles

    Xerxles Famous Member

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    Lip Wart - caused Human Papilloma Virus
     

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  5. drkdab

    drkdab Famous Member

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    DDx - HPV Wart, Kaposi Sarcoma, HSV reactivation?
     

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  6. neo_star

    neo_star Moderator

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    Answer - verruca vulgaris (wart)

    The lesions that occur within the oral cavity are typically - softer and more whitish than on the skin.

    Other conditions to consider
    Squamous cell carcinoma
    Giant cell fibroma
    Neurofibroma
    Benign and malignant salivary gland tumors

    Management

    • Electrodesiccation, cryosurgery with LN[SUB]2[/SUB], and/or laser (see Appendix B)
    • Conservative: wait-and-see attitude, because many of the usual wart treatments are difficult to use in this location.

    Credit to Xerxles & drkdab for solving the challenge (-:
     

    Last edited: Jan 3, 2013

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