“Rash in the mouth”
Person's teeth were removed. Waiting for healing and denture. Age - 67 years. No alcohol, no tobacco. She has rash in the mouth on the right and left side. The rash is whitish, web-like pattern. When she eats, it burns rather irritates. Dr. Has recommended CLENORUSH GEL TO APPLY AND TABLET FOLE-400.
Female | 67 years old
Complaint duration: two months
12 Answers
From the picture, it may be lichen planus, especially since you noted burning and white, web-like appearance. Your doctor thinks it is fungal or yeast, therefore the File 400. Have it biopsied by an oral surgeon first to confirm it, then if it is lichen planus, rx may include corticosteroids, strengthening your immune system. or watching out for triggers in lifestyle, like stress, a new drug or mouthwash, or other allergen. Asking your local dental society for a referral to an oral surgeon is a good start.
Better get this checked by an oral surgeon. Might be oral cancer.
A dentist or oral surgeon should take a look at this and a biopsy may be needed to figure out exactly what this is and what treatment you may need.
That area needs to be biopsied at an oral surgeon's office at once. The appearance of this area has a high tendency to be a cancerous lesion. Do not delay getting this area evaluated with a biopsy ASAP.
This may be due to trauma from biting if he cheeks while the patient adjusts to the dentures. Due to a difference between normal dentition and dentures it takes time for musculature to adjust to prevent the patient from chewing in their cheeks. If his is not the source I would recommend visiting an oral surgeon for biopsy for definitive diagnosis.
Sounds like a possible fungal infection. What the Dr. has prescribed should help after a week or so of usage.
The question is: how long after extractions did these rashes occurred? This rash could be and autoimmune response to trauma. I don’t believe this is any thing serious. Since it is happening on both sides, it has to be autoimmune.
A monilial infection lichen planus is the likely etiology from the way this picture looks and the description of symptoms you illustrate. Scraping of this area and microscopic examination by an oral pathologist will rule out and make accurate differential diagnosis based on the cellular composition of the scrapings itself.
The picture is hard to decipher. A visit to an oral surgeon is recommended for another set of eyes on this.
The most likely diagnosis is that this is lichen planus it is a lesion that is relatively common it is not malignant and has low conversion to a malignant lesion. We are NOT certain what causes lichen planus there are many theories such as it is linked to auto-immune disorders, contact dermatitis from adjacent silver fillings, stress induced, and even dietary nutritional deficiencies such as iron/folate deficiency and vitamin B12. A definitive diagnosis can ONLY be determined by doing a biopsy of the lesion. There are several different classifications of lichen planus and one type often appearss as a white filmy almost spider web appearance on the oral tissues most commonly on the cheeks, these are known as "Wickam's striae". Often patients complain of discomfort when eating acidic or spicy foods so a bland diet is recommended. It is not uncommon for the lichen planus to disappear spontaneously. As far as medications sometimes oral topical steroids are prescribed or steroid rinses as a palliative treatment.
It sounds (without seeing this) like she may have something called Lichen Planus. It's a chronic condition with no cure, so treatment is symptomatic. Has "she" tried the stuff from her dentist? Has it helped? If salty, spicy or acidic foods aggravate the symptoms, they should be cut out. Same with caffeine. This is often triggered by stress (like having extractions) and may also appear on the skin. Perhaps she should be taken to see a dermatologist, as well. Good luck.
It could be many things. An oral pathology exam is required if it is taking more than 3 weeks to heal.
