[Bullous diseases of the oral mucosa]. 2002

Loïc Vaillant, and Valérie Fontès
Service de dermatologie et consultation de dermatologie buccale hôpital Trousseau CHRU 37044 Tours. vaillant@med.univ-tours.fr

Bullous diseases of the oral cavity cause painful, erosive lesions. These must be distinguished from aphthous ulcers and vesicles with which they are often confused. The causes of post-bullous erosions are varied. Acute lesions can be due to trauma, erythema multiforme or toxidermia. The examination of the skin and the medical history are the keys to diagnosis. Chronic bullous diseases can be due to congenital diseases (epidermolysis bullosa or lymphangioma), which are easily evoked by the age at which the symptoms appear and the clinical picture. Acquired chronic bullous diseases include lichen planus and bullous auto-immune diseases. The keys to diagnosis are the presence of other mucosal or cutaneous lesions, the histological examination and the finding of perilesional antibodies on the mucosa. The symptomatic treatment of oral bullous lesions includes the following of a specific diet, use of antalegics and the prevention or treatment of superimposed infection.

UI MeSH Term Description Entries
D009059 Mouth Diseases Diseases involving the MOUTH. Disease, Mouth,Diseases, Mouth,Mouth Disease
D009061 Mouth Mucosa Lining of the ORAL CAVITY, including mucosa on the GUMS; the PALATE; the LIP; the CHEEK; floor of the mouth; and other structures. The mucosa is generally a nonkeratinized stratified squamous EPITHELIUM covering muscle, bone, or glands but can show varying degree of keratinization at specific locations. Buccal Mucosa,Oral Mucosa,Mucosa, Mouth,Mucosa, Oral
D009910 Oral Hygiene The practice of personal hygiene of the mouth. It includes the maintenance of oral cleanliness, tissue tone, and general preservation of oral health. Dental Hygiene,Hygiene, Dental,Hygiene, Oral
D001768 Blister Visible accumulations of fluid within or beneath the epidermis. Bulla,Vesication,Bleb,Bullae,Bullous Lesion,Blebs,Blisters,Bullous Lesions,Lesion, Bullous,Lesions, Bullous,Vesications
D002908 Chronic Disease Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care (Dictionary of Health Services Management, 2d ed). For epidemiological studies chronic disease often includes HEART DISEASES; STROKE; CANCER; and diabetes (DIABETES MELLITUS, TYPE 2). Chronic Condition,Chronic Illness,Chronically Ill,Chronic Conditions,Chronic Diseases,Chronic Illnesses,Condition, Chronic,Disease, Chronic,Illness, Chronic
D003937 Diagnosis, Differential Determination of which one of two or more diseases or conditions a patient is suffering from by systematically comparing and contrasting results of diagnostic measures. Diagnoses, Differential,Differential Diagnoses,Differential Diagnosis
D004032 Diet Regular course of eating and drinking adopted by a person or animal. Diets
D004820 Epidermolysis Bullosa Group of genetically determined disorders characterized by the blistering of skin and mucosae. There are four major forms: acquired, simple, junctional, and dystrophic. Each of the latter three has several varieties. Acantholysis Bullosa
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000700 Analgesics Compounds capable of relieving pain without the loss of CONSCIOUSNESS. Analgesic,Anodynes,Antinociceptive Agents,Analgesic Agents,Analgesic Drugs,Agents, Analgesic,Agents, Antinociceptive,Drugs, Analgesic

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