Keratosis white
Syn .: Leukoplakia, smoker stain.
Def .: Leukoplakia is a precancerous condition.
Epid .: It more often affects men over 50 years of age.
Etiol .: It is not fully explained. The risk factors for leukoplaki are: tobacco, injuries, sun exposure, spicy foods, alcohol.
Lock: Tongue, lower lip and cheeks, labia majora, labia majora, obese groove, foreskin.
Varieties: flat and papillary.
Clinical: Whitish patches slowly transforming into hard discs with red clefts and erosions and an inflammatory reaction on the periphery of the lesions (Schwimmer’s limbus). Itching and burning are common.
DR .: Wilson’s lichen planus, lupus erythematosus, mucosal candidiasis.
Heal: Elimination of risk factors, mild non-irritating diet, treatment of comorbidities (vitamin deficiencies, syphilis). Vitamin A, B vitamins, PP are used; elimination of secondary inflammatory changes. Cytological and histopathological control of the eruptions. Surgical removal of lesions or cryotherapy.
Choroba Yourself
Syn.: Bowen’s disease.
Def .: Single or multiple, white papillary, brown eruptions on the mucosa, often with a hyperkeratotic surface, up to several cm in diameter. It is a precancerous condition.
Epid .: The disease most often affects the elderly over 60 years of age.
Etiol .: The risk factors are: age, sunlight, poisoning with inorganic arsenic compounds, HPV-16 – papillomavirus.
Lock: Mouth angles, lips and tongue, palate.
Hist .: Dysplasia of the epithelial spinous layer combined with cell atypia, leukocyte infiltration, epithelial icicles.
DR: Superficial basal cell carcinoma, atrophic and pigmentary lichen planus, long-standing psoriasis.
Treatment: Cryotherapy, laser therapy, surgical removal of lesions.
Queyrat erythroplasia
Syn.: Erythroplasia Queyrat.
Def .: Red hyperplastic lesion on the penis glans with a smooth, shiny surface. It is a precancerous condition.
Epid .: It occurs mainly in men.
Locale: Rarely occurs on the mucous membranes of the oral cavity – the fundus, lateral surfaces of the tongue, soft palate. The glans and foreskin, labia mucosa.
Clinical: Well-defined, smooth, red stain. Most often, the course is asymptomatic, although it may cause itching or burning.
DR .: Nonspecific inflammation of the glans in men, and the vulva in women.
Healing: Surgery, laser therapy, cryotherapy.
Source: A. Kaszuba, Z. Adamski “Practitioner’s guide. Dermatology”; XNUMXst edition, Wydawnictwo Czelej