Ulcerative Vesicular

ULCERATIVE, VESICULAR, ANDBULLOUS LESIONS

Primary herpetic whitlow on the finger of a dentist

Primary herpetic whitlow on the finger of a dentist

12-year-old female with primary herpetic gingivostomatiscausing discrete vesicles and ulcers surrounded by inflammation

12-year-old female with primary herpetic gingivostomatiscausing discrete vesicles and ulcers surrounded by inflammation

Primary herpes infection in a 17-year-old male. Note theunruptured palatal vesicles and intense marginal gingivitis

Primary herpes infection in a 17-year-old male. Note theunruptured palatal vesicles and intense marginal gingivitis

Acute marginal gingivitis characteristic of primary HSV infection (mandibular anterior gingiva)

Acute marginal gingivitis characteristic of primary HSV infection (mandibular anterior gingiva)

vesicles and inflammation aroundmandibular molars.

vesicles and inflammation aroundmandibular molars

Cytology smear stained with Giemsa, demonstratingmultinucleated giant cells.

Cytology smear stained with Giemsa, demonstratingmultinucleated giant cells

A cluster of vesicles on the tongue in a patient with herpangina.The patient had lesions of the posterior pharyngeal wall and tonsils, butthere was no gingivitis. Coxsackievirus A4 was isolated in tissue culture

cluster of vesicles on the tongue in a patient with herpangina.The patient had lesions of the posterior pharyngeal wall and tonsils, butthere was no gingivitis. Coxsackievirus A4 was isolated in tissue culture

Herpes zoster of the third division of fifth nerve, right side

Facial lesions of herpes zoster involving the second divisionof trigeminal nerve.

Unilateral palatal lesions of herpes zoster of the seconddivision of trigeminal nerve

Early vesicular lesions in a patient who develops erythemamultiforme after each episode of recurrent herpes labialis

Target lesion on the arm of the patient with erythema multiforme

Target lesions in a patient with erythema multiforme

Labial (A), in a17-year-old male with Stevens-Johnson form of erythema multiforme.The lesions began to arise less than 12 hours before the pictures weretaken.

skin (B), and penile (C) lesions in a17-year-old male with Stevens-Johnson form of erythema multiforme.The lesions began to arise less than 12 hours before the pictures weretaken.

penile (C) lesions in a17-year-old male with Stevens-Johnson form of erythema multiforme.The lesions began to arise less than 12 hours before the pictures weretaken.

Intraoral lesions of erythema multiforme in an 18-yearoldmale

Contact allergy of the labial mucosa, due to peppermint

Plasma cell gingivitis of unknown etiology

Extensive necrosis of the interdental papillae, and marginaland attached gingivae caused by acute necrotizing ulcerative gingivitis

Cancrum oris or noma. (Courtesy of Dr. Gustavo Berger,Guatemala City, Guatemala).

Palatal ulceration in a 21-year-old male with fusospirochetalstomatitis, which began as a necrotizing lesion of a pericoronal flap.

Recurrent aphthous stomatitis of the tongue and floor ofthe mouth

Major aphthous ulcers of the labial mucosa

Major aphthous ulcers of the alveolar mucosa

A 42-year-old woman with a recent increase in severityof recurrent aphthous ulcers. An iron deficiency was detected, and theulcers resolved when this deficiency was corrected

Major aphthous ulcer in an HIV-infected patient

Aphthous-like lesion in a patient with Behçet’s syndrome

Crusted lesions of recurrent herpes labialis

Typical lesions of recurrent intraoral herpes simplex virusinfection in patients with normal immunity are clusters of small vesicles andulcers on the heavily keratinized oral mucosa.

Histologic picture of pemphigus vulgaris. The bulla isintraepithelial because of acantholysis (×32 original magnification).(Courtesy of Margaret Wood, MD)

A, Shallow irregular erosions on the buccal mucosa and ventral surface of the tongue caused by pemphigus

Bullae between the fingersof the same patient.

Chronic palatal lesions of pemphigus vegetans

Histologic picture of bullous pemphigoid. The bulla issubepithelial.(Courtesy of Margaret Wood, MD

Bullous pemphigoid lesion of the scalp.

Histopathology of mucous membrane pemphigoid,demonstrating subepithelial separation at the basement membrane

Mucous membrane pemphigoid; early

Mucous membrane pemphigoid advanced cicatricial pemphigoid of the conjunctiva with symblepharon formation.

Chronic desquamative gingival lesions of mucous membranepemphigoid

Mucous membrane pemphigoid causing scarring of thesoft palate

Palatal lesions of erosive lichen planus

Erosive lichen planus of the labial mucosa.

Desquamative gingival lesions in a patient with erosivelichen planus.

Soft medication splint used to treat desquamative gingivitissecondary to erosive lichen planus

Squamous cell carcinoma forming on the buccal mucosaof a patient with erosive lichen planus.

This large ulcer of the buccal mucosa was caused by a chronic herpes simplex infection in a kidney transplant patient receivingimmunosuppressive drug therapy.

A herpetic ulcer near the eye of the same patient.

Chronic herpes simplex infection of the palate in apatient taking chemotherapy for acute leukemia

Traumatic ulcer of the buccal mucosa secondary to cheekbiting.

Palatal ulcer can be the initial sign of Cryptococcus in anAIDS patient.

Mucormycosis of the palate in a kidney transplant patienttaking immunosuppressive drugs (azathioprine and prednisone