Atlas · Plate VII · General and Oral Pathology · 05

Ulcers and vesicles

Minor aphthous ulcers are under 1 cm, form on movable nonkeratinized mucosa and heal in 7-14 days without scarring; major aphthae are larger, last weeks and scar. Recurrent herpes favors keratinized tissue such as the palate, attached gingiva and lip. Primary herpetic gingivostomatitis brings fever and painful gingivitis with vesicles, and erythema multiforme causes target skin lesions and crusted lips.

High-yield facts · 6

  1. Minor aphthous ulcers are under 1 cm and heal in 7-14 days without scarring; major aphthae are over 1 cm, last weeks and scar.T5
  2. Aphthous ulcers occur on nonkeratinized (movable) mucosa; recurrent intraoral herpes occurs on keratinized mucosa (palate, attached gingiva).T5
  3. Primary herpetic gingivostomatitis has fever, malaise and painful generalized gingivitis with vesicles.T5
  4. Traumatic ulcers resolve within about 2 weeks once the cause is removed.T5
  5. Erythema multiforme: sudden "target" skin lesions and crusted, bleeding lips, often triggered by HSV or drugs.T5
  6. Behcet syndrome: recurrent oral and genital ulcers plus eye inflammation.T5

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