Oral Disease: Case Studies of Difficult Diagnoses provides unique insights into the variety of approaches that may play a role in arriving at the correct diagnosis of conditions involving the oral and maxillofacial region. The book features 116 detailed vignettes and 350 images, representing patients referred by a variety of specialists to Dr. Carl Allen over his 40-year career in oral and maxillofacial pathology. Each vignette offers valuable information about the diagnostic process and challenges of diseases of the oral soft tissues and bone. Topics include trauma-related conditions, developmental conditions and syndromes, viral and fungal infections, immune-mediated disorders, oral precancerous lesions, lymphoreticular and surface epithelial malignancies, salivary gland malignancies, and more.
It is often said that we learn best from the mistakes that we make. This text gives medical and dental clinicians the opportunity to learn from the mistakes of others (including those of Dr. Allen!).
1. Title of Book - p. i 2. Cover image - p. i 3. Title page - p. ii 4. Table of Contents - p. iii 5. Copyright - p. iv 6. Dedication - p. v 7. Preface - p. vi 8. Section 1. Developmental Conditions/Syndromes - p. S1 9. Chapter 1. Acro-Osteolysis Syndrome - p. 2 10. Chapter 2. Gardner Syndrome - p. 6 11. Chapter 3. Oligodontia Misdiagnosed as Ectodermal Dysplasia - p. 10 12. Chapter 4. Plasminogen Deficiency - p. 15 13. Chapter 5. White Sponge Nevus - p. 19 14. Section 2. Dental Conditions - p. S2 15. Chapter 6. Dental Fluorosis - p. 24 16. Chapter 7. Dental Erosion Secondary to Bulimia - p. 26 17. Section 3. Environmental and Trauma-Related Conditions - p. S3 18. Chapter 8. Gingival Ulcers Caused by Toothbrush Trauma - p. 29 19. Chapter 9. Petechial Hemorrhage Caused by Fellatio - p. 31 20. Chapter 10. Oxycontin Insufflation Injury - p. 32 21. Chapter 11. Delayed Healing of an Ulcer Due to Patient Removing Overlying Fibrin - p. 35 22. Chapter 12. Delayed Healing of Traumatic Ulcers Due to Xerostomia and Candidal Infection - p. 37 23. Chapter 13. Burn Caused by Inhaling Hashish Ember - p. 41 24. Chapter 14. Graphite Tattoo - p. 43 25. Chapter 15. Factitial Oroantral Fistula - p. 45 26. Chapter 16. A 30-Year-Old Woman With Lip Lesions - p. 47 27. Chapter 17. Mucosal Sloughing Caused by Tartar-Control Toothpaste - p. 48 28. Section 4. Salivary Gland – Reactive - p. S4 29. Chapter 18. Necrotizing Sialometaplasia - p. 51 30. Section 5. Infections – Bacterial - p. S5 31. Chapter 19. Syphilis—Secondary, Presenting as Lymphadenopathy - p. 54 32. Chapter 20. Syphilis—Secondary, Presenting as Leukoplakia - p. 56 33. Section 6. Infections - Fungal - p. S6 34. Chapter 21. Candidiasis—Mucosal Presentations and Their Management - p. 59 35. Chapter 22. Candidiasis: Severe Cheilitis With Lip Balms - p. 66 36. Chapter 23. Candidiasis: Perioral, Due to Petroleum Jelly Application - p. 70 37. Chapter 24. Oral Ulcer Related to Invasive Candidiasis in an Uncontrolled Diabetic - p. 72 38. Chapter 25. Aspergillosis: Patient Being Treated for Leukemia - p. 74 39. Section 7. Infections - Viral - p. S7 40. Chapter 26. Hand, Foot, and Mouth Disease Mistaken for Erythema Multiforme - p. 77 41. Chapter 27. Oral Herpes Simplex Virus Type 1 in a Leukemia Patient - p. 80 42. Chapter 28. Oral Primary Herpes Affecting a Teenager - p. 82 43. Chapter 29. Herpes Simplex Causing Recurrent Intraoral Infection - p. 86 44. Section 8. Oral Manifestations of HIV Infection - p. S8 45. Chapter 30. Oral Kaposi Sarcoma Mistaken for Crohn Disease - p. 90 46. Chapter 31. Recurrent Candidiasis and Kaposi Sarcoma in a Previously Undiagnosed HIV Patient - p. 92 47. Chapter 32. Herpes Simplex Causing a Persistent Tongue Ulcer in an HIV Patient - p. 94 48. Chapter 33. Oral Lymphoma Mimicking a Pyogenic Granuloma - p. 96 49. Chapter 34. Oral Aphthous Ulcers in HIV-Positive Patients - p. 98 50. Chapter 35. Oral Histoplasmosis in AIDS Patients - p. 101 51. Chapter 36. HIV-Positive Man with Oral Squamous Cell Carcinoma and Dementia - p. 104 52. Chapter 37. Behçet Syndrome in an HIV-Positive Man - p. 105 53. Chapter 38. HIV-Positive Man with Gingival Ulceration Not Related to HIV - p. 108 54. Chapter 39. HIV-Positive Man With a Vascular Anomaly of the Lip - p. 110 55. Section 9. Oral Precancerous Conditions – Leukoplakia and Erythroplaki - p. S9 56. Chapter 40. Precancerous Oral Lesions: Three Different Presentations - p. 113 57. Chapter 41. Erythroplakia of the Floor of the Mouth, Treated With Radiation - p. 116 58. Chapter 42. Erythroleukoplakia of a Young Man’s Tongue - p. 119 59. Section 10. Oral Precancerous Conditions – Proliferative Verrucous Leukoplaki - p. S10 60. Chapter 43. A Woman With Palatal Erythroplakia and Pharyngeal “Polyps” - p. 122 61. Chapter 44. Proliferative Verrucous Leukoplakia of the Mandibular Ridge - p. 125 62. Chapter 45. Proliferative Leukoplakia of a Young Woman’s Tongue - p. 127 63. Chapter 46. Proliferative Verrucous Leukoplakia of the Lateral Tongue of a Nurse, Treated as Lichen Planus - p. 129 64. Chapter 47. Proliferative Verrucous Leukoplakia Lichenoid, in a Middle-Aged Man - p. 131 65. Chapter 48. Proliferative Verrucous Leukoplakia, Slowly Progressive in an Older Man - p. 135 66. Chapter 49. Proliferative Verrucous Leukoplakia, Erosive, but Eventually Leukoplakia and Carcinoma - p. 138 67. Chapter 50. Proliferative Verrucous Leukoplakia, Young Woman With Lichenoid Tongue Lesions - p. 143 68. Chapter 51. Proliferative Verrucous Leukoplakia Eventually Transforming to Verrucous Carcinoma - p. 146 69. Section 11. Oral Squamous Cell Carcinoma (SCCa) - p. S11 70. Chapter 52. Poorly Differentiated Carcinoma of the Buccal Mucosa in a Young Woman - p. 150 71. Chapter 53. Squamous Cell Carcinoma of the Tongue Treated as a Denture Sore - p. 152 72. Chapter 54. Squamous Cell Carcinoma of Gingiva Arising in “Lichen Planus” - p. 154 73. Chapter 55. Squamous Cell Carcinoma of Gingiva Mistaken for Cyclosporine Hyperplasia - p. 156 74. Chapter 56. Squamous Cell Carcinoma of the Lower Lip in a Bone Marrow Transplant Patient, Treated as an Infection - p. 160 75. Chapter 57. Squamous Cell Carcinoma of Dorsal Tongue, Treated as Candidiasis - p. 162 76. Chapter 58. Squamous Cell Carcinoma, Large and Destructive of the Buccal Mucosa - p. 164 77. Chapter 59. Squamous Cell Carcinoma due to Betel Quid and Cigarette Use in an Indian Man - p. 166 78. Chapter 60. Squamous Cell Carcinoma of the Dorsal Tongue. Biopsy Showed Mild Dysplasia 10 Years Earlier - p. 168 79. Chapter 61. Squamous Cell Carcinoma of the Tongue Treated as Infection Over Several Months - p. 170 80. Chapter 62. Squamous Cell Carcinoma of the Tongue, Thought to be Caused by an Imbedded Foreign Body - p. 172 81. Chapter 63. Squamous Cell Carcinoma, Massive Lesion of the Lower Lip: Nontreatable - p. 174 82. Chapter 64. Squamous Cell Carcinoma of the Gingiva. Prior Biopsy Suggested Dysplasia - p. 176 83. Chapter 65. Squamous Cell Carcinoma of Tongue in a 36-Year-Old Woman - p. 178 84. Chapter 66. Undifferentiated Carcinoma, Mistaken for Dental Abscess in a 19-Year-Old Male - p. 180 85. Chapter 67. Squamous Cell Carcinoma of the Buccal Mucosa, Treated With Alternative Cancer Therapy - p. 184 86. Chapter 68. Verrucous Carcinoma Is Managed With Radiation in an Older Man - p. 186 87. Chapter 69. Verrucous Carcinoma Is Seen in the Initial Incisional Biopsy … - p. 189 88. Section 12. Melanoma - p. S12 89. Chapter 70. Oral Melanoma in an Edentulous Man - p. 192 90. Section 13. Malignancies of Osseous Differentiation - p. S13 91. Chapter 71. Osteosarcoma Affecting a Woman With Turner Syndrome - p. 195 92. Chapter 72. Osteosarcoma, Massive, of a Woman’s Mandible - p. 197 93. Chapter 73. Osteosarcoma, Referred by the Woman’s Dentist - p. 199 94. Section 14. Hematopoietic Malignancies - p. S14 95. Chapter 74. Lymphoma Causing Palatal Swelling - p. 202 96. Chapter 75. Lymphoma Causing a Posterior Maxillary Mass - p. 205 97. Chapter 76. Granulocytic Sarcoma in an Older Man and a Teenager - p. 207 98. Chapter 77. Multiple Myeloma—Presenting as Tongue and Eyelid Nodules of Amyloid - p. 210 99. Chapter 78. Multiple Myeloma in a Man With Tongue and Neck Swelling - p. 214 100. Section 15. Other Mesenchymal Malignancies - p. S15 101. Chapter 79. Synovial Sarcoma in a Woman Treated as TMJ Dysfunction - p. 220 102. Section 16. Salivary Gland Malignancies - p. S16 103. Chapter 80. Mucoepidermoid Carcinoma Misdiagnosed as a Tattoo - p. 224 104. Chapter 81. Mucoepidermoid Carcinoma Presenting as a Tongue Nodule - p. 226 105. Chapter 82. Secretory Carcinoma Seen as a Nodule in the Buccal Vestibule - p. 227 106. Section 17. Metastatic Disease - p. S17 107. Chapter 83. Metastatic Adenocarcinoma of the Colon in a Denture Patient - p. 230 108. Chapter 84. Metastatic Lung Carcinoma Presenting as a Tongue Nodule - p. 232 109. Chapter 85. Metastatic Nasopharyngeal Carcinoma Involving the Brain and Gingiva - p. 234 110. Chapter 86. Metastatic Prostate Carcinoma Treated Endodontically - p. 237 111. Chapter 87. Metastatic Renal Cell Ca Presenting as a Large Jaw Swelling - p. 238 112. Chapter 88. Metastatic Malignant Peripheral Nerve Sheath Tumor in a Boy - p. 240 113. Section 18. Vesiculobullous Disease - p. S18 114. Chapter 89. Pemphigus Vulgaris Affecting a 15-Year-Old Boy - p. 243 115. Chapter 90. Mucous Membrane Pemphigoid Leading to Blindness - p. 247 116. Chapter 91. Paraneoplastic Pemphigoid Caused by Burn Pit Exposure - p. 249 117. Chapter 92. Paraneoplastic Pemphigus Affecting a Man With Lymphoma - p. 252 118. Section 19. Immune-Mediated Disease - p. S19 119. Chapter 93. Geographic Tongue Affecting a Young Woman - p. 256 120. Chapter 94. Herpetiform Aphthae and Coated Tongue in a Young Woman - p. 259 121. Chapter 95. Lichenoid and Granulomatous Stomatitis in an Elderly Man - p. 262 122. Chapter 96. Behcet Syndrome in a Woman With Oral Sores for Months - p. 265 123. Chapter 97. Pyostomatitis Vegetans Presenting as Painful Gingival Lesions - p. 268 124. Chapter 98. Crohn Disease in a Man With Gingival Swelling - p. 271 125. Chapter 99. Crohn Disease in a Young Woman With Gingival Swelling - p. 272 126. Chapter 100. Cheilitis Granulomatosa for Years in a Young Woman - p. 274 127. Chapter 101. Cinnamon Reaction of the Tongue Noted for Months - p. 277 128. Chapter 102. Toothpaste Reaction on Both Sides of the Tongue - p. 280 129. Chapter 103. Drug Reaction Causing Diffuse Oral Ulcers for Several Years - p. 283 130. Chapter 104. Erythema Multiforme Treated as Oral Candidiasis - p. 286 131. Chapter 105. Granulomatosis With Polyangiitis (Wegener Granulomatosis) Having Palatal and Gingival Lesions - p. 290 132. Section 20. Oral Manifestations of Systemic Disease - p. S20 133. Chapter 106. Brown Tumor Presenting as an Enlarging Mandibular Mass - p. 293 134. Chapter 107. Hypothyroidism in a Girl Whose Teeth Were Not Erupting - p. 296 135. Chapter 108. Burning Mouth Syndrome in a Middle-Aged Woman - p. 299 136. Section 21. Coincidental Cutaneous Lesions - p. S21 137. Chapter 109. Cutaneous Sinus of Dental Origin on the Facial Skin - p. 304 138. Chapter 110. Recurrent Basal Cell Carcinoma of the Forehead - p. 306 139. Chapter 111. Basal Cell Carcinoma Involving the Forehead of a Student - p. 307 140. Chapter 112. Pigmented Basal Cell Carcinoma of the Neck - p. 309 141. Chapter 113. Superficial Basal Cell Carcinoma Behind the Ear - p. 311 142. Chapter 114. Basal Cell Carcinoma of the Upper Lip - p. 313 143. Chapter 115. Recurrent Basal Cell Carcinoma Involving the Nasal Ala and Maxillary Alveolus - p. 315 144. Chapter 116. Melanoma Arising in a Congenital Melanocytic Nevus - p. 317 145. Index - p. 319
Oral Disease: Case Studies of Difficult Diagnoses provides unique insights into the variety of approaches that may play a role in arriving at the correct diagnosis of conditions involving the oral and maxillofacial region. The book features 116 detailed vignettes and 350 images, representing patients referred by a variety of specialists to Dr. Carl Allen over his 40-year career in oral and maxillofacial pathology. Each vignette offers valuable information about the diagnostic process and challenges of diseases of the oral soft tissues and bone. Topics include trauma-related conditions, developmental conditions and syndromes, viral and fungal infections, immune-mediated disorders, oral precancerous lesions, lymphoreticular and surface epithelial malignancies, salivary gland malignancies, and more.
It is often said that we learn best from the mistakes that we make. This text gives medical and dental clinicians the opportunity to learn from the mistakes of others (including those of Dr. Allen!).
1. Title of Book - p. i 2. Cover image - p. i 3. Title page - p. ii 4. Table of Contents - p. iii 5. Copyright - p. iv 6. Dedication - p. v 7. Preface - p. vi 8. Section 1. Developmental Conditions/Syndromes - p. S1 9. Chapter 1. Acro-Osteolysis Syndrome - p. 2 10. Chapter 2. Gardner Syndrome - p. 6 11. Chapter 3. Oligodontia Misdiagnosed as Ectodermal Dysplasia - p. 10 12. Chapter 4. Plasminogen Deficiency - p. 15 13. Chapter 5. White Sponge Nevus - p. 19 14. Section 2. Dental Conditions - p. S2 15. Chapter 6. Dental Fluorosis - p. 24 16. Chapter 7. Dental Erosion Secondary to Bulimia - p. 26 17. Section 3. Environmental and Trauma-Related Conditions - p. S3 18. Chapter 8. Gingival Ulcers Caused by Toothbrush Trauma - p. 29 19. Chapter 9. Petechial Hemorrhage Caused by Fellatio - p. 31 20. Chapter 10. Oxycontin Insufflation Injury - p. 32 21. Chapter 11. Delayed Healing of an Ulcer Due to Patient Removing Overlying Fibrin - p. 35 22. Chapter 12. Delayed Healing of Traumatic Ulcers Due to Xerostomia and Candidal Infection - p. 37 23. Chapter 13. Burn Caused by Inhaling Hashish Ember - p. 41 24. Chapter 14. Graphite Tattoo - p. 43 25. Chapter 15. Factitial Oroantral Fistula - p. 45 26. Chapter 16. A 30-Year-Old Woman With Lip Lesions - p. 47 27. Chapter 17. Mucosal Sloughing Caused by Tartar-Control Toothpaste - p. 48 28. Section 4. Salivary Gland – Reactive - p. S4 29. Chapter 18. Necrotizing Sialometaplasia - p. 51 30. Section 5. Infections – Bacterial - p. S5 31. Chapter 19. Syphilis—Secondary, Presenting as Lymphadenopathy - p. 54 32. Chapter 20. Syphilis—Secondary, Presenting as Leukoplakia - p. 56 33. Section 6. Infections - Fungal - p. S6 34. Chapter 21. Candidiasis—Mucosal Presentations and Their Management - p. 59 35. Chapter 22. Candidiasis: Severe Cheilitis With Lip Balms - p. 66 36. Chapter 23. Candidiasis: Perioral, Due to Petroleum Jelly Application - p. 70 37. Chapter 24. Oral Ulcer Related to Invasive Candidiasis in an Uncontrolled Diabetic - p. 72 38. Chapter 25. Aspergillosis: Patient Being Treated for Leukemia - p. 74 39. Section 7. Infections - Viral - p. S7 40. Chapter 26. Hand, Foot, and Mouth Disease Mistaken for Erythema Multiforme - p. 77 41. Chapter 27. Oral Herpes Simplex Virus Type 1 in a Leukemia Patient - p. 80 42. Chapter 28. Oral Primary Herpes Affecting a Teenager - p. 82 43. Chapter 29. Herpes Simplex Causing Recurrent Intraoral Infection - p. 86 44. Section 8. Oral Manifestations of HIV Infection - p. S8 45. Chapter 30. Oral Kaposi Sarcoma Mistaken for Crohn Disease - p. 90 46. Chapter 31. Recurrent Candidiasis and Kaposi Sarcoma in a Previously Undiagnosed HIV Patient - p. 92 47. Chapter 32. Herpes Simplex Causing a Persistent Tongue Ulcer in an HIV Patient - p. 94 48. Chapter 33. Oral Lymphoma Mimicking a Pyogenic Granuloma - p. 96 49. Chapter 34. Oral Aphthous Ulcers in HIV-Positive Patients - p. 98 50. Chapter 35. Oral Histoplasmosis in AIDS Patients - p. 101 51. Chapter 36. HIV-Positive Man with Oral Squamous Cell Carcinoma and Dementia - p. 104 52. Chapter 37. Behçet Syndrome in an HIV-Positive Man - p. 105 53. Chapter 38. HIV-Positive Man with Gingival Ulceration Not Related to HIV - p. 108 54. Chapter 39. HIV-Positive Man With a Vascular Anomaly of the Lip - p. 110 55. Section 9. Oral Precancerous Conditions – Leukoplakia and Erythroplaki - p. S9 56. Chapter 40. Precancerous Oral Lesions: Three Different Presentations - p. 113 57. Chapter 41. Erythroplakia of the Floor of the Mouth, Treated With Radiation - p. 116 58. Chapter 42. Erythroleukoplakia of a Young Man’s Tongue - p. 119 59. Section 10. Oral Precancerous Conditions – Proliferative Verrucous Leukoplaki - p. S10 60. Chapter 43. A Woman With Palatal Erythroplakia and Pharyngeal “Polyps” - p. 122 61. Chapter 44. Proliferative Verrucous Leukoplakia of the Mandibular Ridge - p. 125 62. Chapter 45. Proliferative Leukoplakia of a Young Woman’s Tongue - p. 127 63. Chapter 46. Proliferative Verrucous Leukoplakia of the Lateral Tongue of a Nurse, Treated as Lichen Planus - p. 129 64. Chapter 47. Proliferative Verrucous Leukoplakia Lichenoid, in a Middle-Aged Man - p. 131 65. Chapter 48. Proliferative Verrucous Leukoplakia, Slowly Progressive in an Older Man - p. 135 66. Chapter 49. Proliferative Verrucous Leukoplakia, Erosive, but Eventually Leukoplakia and Carcinoma - p. 138 67. Chapter 50. Proliferative Verrucous Leukoplakia, Young Woman With Lichenoid Tongue Lesions - p. 143 68. Chapter 51. Proliferative Verrucous Leukoplakia Eventually Transforming to Verrucous Carcinoma - p. 146 69. Section 11. Oral Squamous Cell Carcinoma (SCCa) - p. S11 70. Chapter 52. Poorly Differentiated Carcinoma of the Buccal Mucosa in a Young Woman - p. 150 71. Chapter 53. Squamous Cell Carcinoma of the Tongue Treated as a Denture Sore - p. 152 72. Chapter 54. Squamous Cell Carcinoma of Gingiva Arising in “Lichen Planus” - p. 154 73. Chapter 55. Squamous Cell Carcinoma of Gingiva Mistaken for Cyclosporine Hyperplasia - p. 156 74. Chapter 56. Squamous Cell Carcinoma of the Lower Lip in a Bone Marrow Transplant Patient, Treated as an Infection - p. 160 75. Chapter 57. Squamous Cell Carcinoma of Dorsal Tongue, Treated as Candidiasis - p. 162 76. Chapter 58. Squamous Cell Carcinoma, Large and Destructive of the Buccal Mucosa - p. 164 77. Chapter 59. Squamous Cell Carcinoma due to Betel Quid and Cigarette Use in an Indian Man - p. 166 78. Chapter 60. Squamous Cell Carcinoma of the Dorsal Tongue. Biopsy Showed Mild Dysplasia 10 Years Earlier - p. 168 79. Chapter 61. Squamous Cell Carcinoma of the Tongue Treated as Infection Over Several Months - p. 170 80. Chapter 62. Squamous Cell Carcinoma of the Tongue, Thought to be Caused by an Imbedded Foreign Body - p. 172 81. Chapter 63. Squamous Cell Carcinoma, Massive Lesion of the Lower Lip: Nontreatable - p. 174 82. Chapter 64. Squamous Cell Carcinoma of the Gingiva. Prior Biopsy Suggested Dysplasia - p. 176 83. Chapter 65. Squamous Cell Carcinoma of Tongue in a 36-Year-Old Woman - p. 178 84. Chapter 66. Undifferentiated Carcinoma, Mistaken for Dental Abscess in a 19-Year-Old Male - p. 180 85. Chapter 67. Squamous Cell Carcinoma of the Buccal Mucosa, Treated With Alternative Cancer Therapy - p. 184 86. Chapter 68. Verrucous Carcinoma Is Managed With Radiation in an Older Man - p. 186 87. Chapter 69. Verrucous Carcinoma Is Seen in the Initial Incisional Biopsy … - p. 189 88. Section 12. Melanoma - p. S12 89. Chapter 70. Oral Melanoma in an Edentulous Man - p. 192 90. Section 13. Malignancies of Osseous Differentiation - p. S13 91. Chapter 71. Osteosarcoma Affecting a Woman With Turner Syndrome - p. 195 92. Chapter 72. Osteosarcoma, Massive, of a Woman’s Mandible - p. 197 93. Chapter 73. Osteosarcoma, Referred by the Woman’s Dentist - p. 199 94. Section 14. Hematopoietic Malignancies - p. S14 95. Chapter 74. Lymphoma Causing Palatal Swelling - p. 202 96. Chapter 75. Lymphoma Causing a Posterior Maxillary Mass - p. 205 97. Chapter 76. Granulocytic Sarcoma in an Older Man and a Teenager - p. 207 98. Chapter 77. Multiple Myeloma—Presenting as Tongue and Eyelid Nodules of Amyloid - p. 210 99. Chapter 78. Multiple Myeloma in a Man With Tongue and Neck Swelling - p. 214 100. Section 15. Other Mesenchymal Malignancies - p. S15 101. Chapter 79. Synovial Sarcoma in a Woman Treated as TMJ Dysfunction - p. 220 102. Section 16. Salivary Gland Malignancies - p. S16 103. Chapter 80. Mucoepidermoid Carcinoma Misdiagnosed as a Tattoo - p. 224 104. Chapter 81. Mucoepidermoid Carcinoma Presenting as a Tongue Nodule - p. 226 105. Chapter 82. Secretory Carcinoma Seen as a Nodule in the Buccal Vestibule - p. 227 106. Section 17. Metastatic Disease - p. S17 107. Chapter 83. Metastatic Adenocarcinoma of the Colon in a Denture Patient - p. 230 108. Chapter 84. Metastatic Lung Carcinoma Presenting as a Tongue Nodule - p. 232 109. Chapter 85. Metastatic Nasopharyngeal Carcinoma Involving the Brain and Gingiva - p. 234 110. Chapter 86. Metastatic Prostate Carcinoma Treated Endodontically - p. 237 111. Chapter 87. Metastatic Renal Cell Ca Presenting as a Large Jaw Swelling - p. 238 112. Chapter 88. Metastatic Malignant Peripheral Nerve Sheath Tumor in a Boy - p. 240 113. Section 18. Vesiculobullous Disease - p. S18 114. Chapter 89. Pemphigus Vulgaris Affecting a 15-Year-Old Boy - p. 243 115. Chapter 90. Mucous Membrane Pemphigoid Leading to Blindness - p. 247 116. Chapter 91. Paraneoplastic Pemphigoid Caused by Burn Pit Exposure - p. 249 117. Chapter 92. Paraneoplastic Pemphigus Affecting a Man With Lymphoma - p. 252 118. Section 19. Immune-Mediated Disease - p. S19 119. Chapter 93. Geographic Tongue Affecting a Young Woman - p. 256 120. Chapter 94. Herpetiform Aphthae and Coated Tongue in a Young Woman - p. 259 121. Chapter 95. Lichenoid and Granulomatous Stomatitis in an Elderly Man - p. 262 122. Chapter 96. Behcet Syndrome in a Woman With Oral Sores for Months - p. 265 123. Chapter 97. Pyostomatitis Vegetans Presenting as Painful Gingival Lesions - p. 268 124. Chapter 98. Crohn Disease in a Man With Gingival Swelling - p. 271 125. Chapter 99. Crohn Disease in a Young Woman With Gingival Swelling - p. 272 126. Chapter 100. Cheilitis Granulomatosa for Years in a Young Woman - p. 274 127. Chapter 101. Cinnamon Reaction of the Tongue Noted for Months - p. 277 128. Chapter 102. Toothpaste Reaction on Both Sides of the Tongue - p. 280 129. Chapter 103. Drug Reaction Causing Diffuse Oral Ulcers for Several Years - p. 283 130. Chapter 104. Erythema Multiforme Treated as Oral Candidiasis - p. 286 131. Chapter 105. Granulomatosis With Polyangiitis (Wegener Granulomatosis) Having Palatal and Gingival Lesions - p. 290 132. Section 20. Oral Manifestations of Systemic Disease - p. S20 133. Chapter 106. Brown Tumor Presenting as an Enlarging Mandibular Mass - p. 293 134. Chapter 107. Hypothyroidism in a Girl Whose Teeth Were Not Erupting - p. 296 135. Chapter 108. Burning Mouth Syndrome in a Middle-Aged Woman - p. 299 136. Section 21. Coincidental Cutaneous Lesions - p. S21 137. Chapter 109. Cutaneous Sinus of Dental Origin on the Facial Skin - p. 304 138. Chapter 110. Recurrent Basal Cell Carcinoma of the Forehead - p. 306 139. Chapter 111. Basal Cell Carcinoma Involving the Forehead of a Student - p. 307 140. Chapter 112. Pigmented Basal Cell Carcinoma of the Neck - p. 309 141. Chapter 113. Superficial Basal Cell Carcinoma Behind the Ear - p. 311 142. Chapter 114. Basal Cell Carcinoma of the Upper Lip - p. 313 143. Chapter 115. Recurrent Basal Cell Carcinoma Involving the Nasal Ala and Maxillary Alveolus - p. 315 144. Chapter 116. Melanoma Arising in a Congenital Melanocytic Nevus - p. 317 145. Index - p. 319
