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Diagnostic Radiology Rubin H. Flocks M. D., Gösta Jönsson M. D.

Diagnosis, Differential Early Diagnosis Leukoplakia, Oral / diagnosis* OHL Clinical Differential Diagnosis OHL is most often confused with idiopathic clinical leukoplakia, tobacco-induced leukoplakia, frictional keratosis, edema, lichen planus, galvanic lesions, geographic tongue, maceration, white sponge nevus, oral graft-versus-host disease, and chronic hyperplastic OC (Wescott and Correll 1988 ; Triantos et al., 1997 ; Reginald and Sivapathasundharam 2010 homogenous white keratotic areas suggestive of mixed type of homogenous as well as granular type. The lesion on palpation was not tender. The lesion was non scrapable. It was provisionally diagnosed as verrucous type of leukoplakia. A differential diagnosis of Verrucous carcinoma, Hypertrophic Candidiasis and plaque type Lichen Planus, was given. 2018-05-22 2020-05-05 Leukoplakia: | | | |Leukoplakia| | | | | |C World Heritage Encyclopedia, the aggregation of the largest online encyclopedias available, and the most definitive Clinical differential diagnosis would range from Frictional Keratosis, Homogenous Leukoplakia, Papilloma, Papillary Hyperplasia, Cowdens Syndrome, Verrucous Hyperplasia and Verrucous Carcinoma. The ambiguity of PVL is further aggravated because there are no criteria that dictate how extensive the leukoplakic changes should be or how regard to the establishment of a clinical diagnosis of leukoplakia have been listed in table 1.

Differential diagnosis of homogenous leukoplakia

Homogeneous leukoplakia: A predominantly white lesion of uniform, flat, thin appearance that may exhibit shallow cracks and has a smooth wrinkled or corrugated surface with a consistent texture throughout. • Nonhomogeneous leukoplakia: A predominantly white or white and red lesion that may be irregular, flat, nodular, or corrugated. Leukoplakia can be either solitary or multiple. Leukoplakia may appear on any site of the oral cavity, the most common sites being: buccal mucosa, alveolar mucosa, floor of the mouth, tongue, lips and palate. Classically two clinical types of leukoplakia are recognised: homogeneous and non-homogeneous, which can co-exist. homogenous white keratotic areas suggestive of mixed type of homogenous as well as granular type. The lesion on palpation was not tender.

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J Clin Microbiol . 1990 Dec. 28(12):2775-8. [Medline] . Oral leukoplakia has a broad differential diagnosis, and the most important conditions that need to be excluded during workup are: early stages of oropharyngeal candidiasis (thrush), hairy leukoplakia (a constitutive feature of human immunodeficiency virus - HIV infection), lichen planus, lupus erythematosus, secondary syphilis, leukoedema, frictional keratosis, and aspirin burns [1] [2].

Differential diagnosis of homogenous leukoplakia

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The ambiguity of PVL is further aggravated because there are no criteria that dictate how extensive the leukoplakic changes should be or how regard to the establishment of a clinical diagnosis of leukoplakia have been listed in table 1. Traditionally, leukoplakias are clinically subdivided in a homogeneous and a non-homogeneous variant. In homogeneous leukoplakia the lesion is uniformly white and the surface is flat or slightly wrinkled. In non-ho-mogeneous leukoplakia there is a mixed white-and-red Differential diagnosis: Surface debris. This can be scrapped off with a tongue blade or gauze Acute pseudomembranous candidiasis (Thrush).

The lesion on palpation was not tender.
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The reasons for the higher incidence of homogenous leukoplakia in the present study are difficult to explain as they are multifactorial. Leukoplakia can be either solitary or multiple.

• Nonhomogeneous leukoplakia: A predominantly white or white and red lesion that may be irregular, flat, nodular, or corrugated. Leukoplakia can be either solitary or multiple. Leukoplakia may appear on any site of the oral cavity, the most common sites being: buccal mucosa, alveolar mucosa, floor of the mouth, tongue, lips and palate.
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So, for the establishment of a correct whereas non-homogeneous leukoplakia has been a mixture of white-and-red chewing and other forms of tobacco are proven etiologic causes of mucosal 26 Mar 2017 Size greater than 200mm c.