Physical Exam
- Oral leukoplakia and oral cancer
A 53-year-old male who had smoked for 36 years was referred by his dentist for worsening vitiligo diagnosed as leukoplakia 3 years earlier.
- Median rhomboid glossitis caused by tongue-brushing
The patient had started vigorous brushing 1 month earlier after being told that she had bad breath.
Update in cutaneous manifestations of COVID-19: Special populationsRecognition of skin reactions and their implications is beneficial to clinicians in shaping patient counseling and anticipatory guidance. An illustrated guide.
- Asymptomatic granules on the buccal mucosa
A healthy 35-year-old man presented with multiple small, white-yellow papules.
- Spontaneous oral hematoma diagnosed as angina bullosa hemorrhagica
The lesions occur on the soft palate, buccal mucosa, and tongue, and only rarely on the masticatory mucosa such as the gingiva and hard palate.
- Blue sclera: An overlooked finding of iron deficiency
The pathogenesis is thought to involve thinning of collagen fibers of the sclera due to iron deficiency, allowing the bluish color of the underlying uvea to become visible.
- Scaly plaques in a malnourished patient
A markedly low serum zinc level and the characteristic location of the rash in a patient with long-standing alcohol use disorder and cirrhosis led to the correct diagnosis.
- Mucormycosis presenting as dental pain
A root canal procedure failed to relieve the pain, and 1 week later the patient developed mobility of the left upper teeth.
- Widespread skin-thickening and hyperpigmentation
A 37-year-old military veteran presented with extensive velvety hyperpigmented plaques over nearly 15% of the total body surface.
- Phenytoin-induced gingival overgrowth
A young man presented with lower-extremity weakness and slurred speech. He has been on seizure prophylaxis after experiencing a seizure following hemicraniectomy for subdural hematoma.