Oral Cues to Disease
Match the diagnosis to the photo by letter
a. Thrombocytopenia purpura
b. Systemic or discoid lupus erythematosus
c. Crohn disease
d. Pemphigus vulgaris
Photos were originally published in J Fam Pract. 2015;64(7):392-399.
Answers to last month’s “Picture This” (Clinician Reviews. 2017;27[8]:21): 1a, 2d, 3b, 4c.
4. This 14-year-old girl is concerned about the multiple ecchymoses and thrombi in her mouth. She feels fatigued and has a fever. Her history includes a tendency to bruise easily, menorrhagia, and a recent infection treated with vancomycin. Physical exam is notable for retinal hemorrhages and jaundice.
Diagnosis: Thrombocytopenia purpura may manifest with oral petechiae, purpura, oral hematomas, or hemorrhagic bullae.
For more information, see “Oral lesions you can’t afford to miss.” J Fam Pract. 2015;64(7):392-399.
