November/December 2017
ORIGINAL CONTRIBUTION
Morphology This conformed to a plaque (38.5% of patients), ulcer/erosion (27.5%), papule/nodule (24.5%), or “other,” comprising a vesicle, mass, swelling, or fissure (9.5%).
Based on the morphology and site of the lesions, the OMLs were classified9,10 into inflammatory 130 (65.0%), developmental 47 (23.5%), and neoplastic 23 (11.5%). Some of these are shown in Figures 1 to 5. Their frequencies are detailed in Table V.
Site Buccal mucosa was involved in 73 (36.5%) of patients, followed by labial mucosa/floor of the mouth in 60 (30.0%), tongue in 47 (23.5%), lip in 38 (19.0%), and palate/gingiva in 36 (18.0%). Buccal mucosa, labial mucosa, and tongue were the most common sites for inflammatory lesions, whereas the lip was the frequent site for neoplastic lesions such as basal cell carcinoma, verrucous carcinoma, and other preneoplastic conditions like actinic cheilitis. Multiple sites, on the other hand, were involved in pemphigus vulgaris, erythema multiforme, bullous pemphigoid, and a few cases of OLP and candidosis.
Figure 1. Candidosis, depicting curdy-white lesions. Table III. Oral Mucosal Lesions: Incriminating Factors Frequency
Percentage
Tobacco
47
23.5
Alcohol
55
27.5
Both
32
16.0
Dental amalgam
29
14.5
Good
89
44.5
Poor/mediocre
111
55.5
Vegetarian
88
44.0
Non-vegetarian
112
56.0
Incriminating factors
Oral hygiene
Diet
Table IV. Oral Mucosal Lesions: Associated Symptoms Symptoms
Frequency (%)
Pain and burning
68 (34.0)
Roughness, tingling, and loss of taste
14 (7.0)
Bleeding
10 (5.0)
Difficulty in mouth opening
2 (1.0)
Figure 2. Benign migratory glossitis/geographic tongue with psoriasis vulgaris.
Symptoms were present in 94 (47.0%) and absent in 106 (53.0%). SKINmed. 2017;15:421–429
423
Oral Mucosal Lesions in a Cross-Sectional Study