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Oral Disease: Case Studies of Difficult Diagnoses

Oral Disease: Case Studies of Difficult Diagnoses

Case Studies of Difficult Diagnoses

9780443280900
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2026-07-28

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Description
Oral Disease:: Case Studies of Difficult Diagnoses provides unique insights into the variety of approaches that may play a role in arriving at the correct diagnosis of conditions involving the oral and maxillofacial region. The book features 116 detailed vignettes and 350 images, representing patients referred by a variety of specialists to Dr. Carl Allen over his 40-year career in oral and maxillofacial pathology. Each vignette offers valuable information about the diagnostic process and challenges of diseases of the oral soft tissues and bone. Topics include trauma-related conditions, developmental conditions and syndromes, viral and fungal infections, immune-mediated disorders, oral precancerous lesions, lymphoreticular and surface epithelial malignancies, salivary gland malignancies, and more.

It is often said that we learn best from the mistakes that we make. This text gives medical and dental clinicians the opportunity to learn from the mistakes of others (including those of Dr. Allen!).
Product Details
Elsevier
104535
9780443280900
9780443280900

Data sheet

Publication date
2026
Issue number
1
Cover
paperback
Pages count
256
Dimensions (mm)
152 x 229
  • Section 1: Developmental Conditions/Syndromes
    1. Acro-osteolysis syndrome
    2. Gardner syndrome
    3. Oligodontia misdiagnosed as ectodermal dysplasia
    4. Plasminogen deficiency
    5. White sponge nevus

    Section 2: Dental Conditions
    6. Fluorosis
    7. Erosion secondary to bulimia

    Section 3: Environmental and Trauma-Related Conditions
    8. Toothbrush trauma
    9. Petechial hemorrhage caused by fellatio
    10. Oxycontin insufflation injury
    11. Abrading the fibrin covering a non-specific ulcer
    12. Traumatic ulcers related to xerostomia and candida
    13. Burn caused by inhaling hashish ember
    14. Graphite tattoo
    15. Factitial oro-antral fistula
    16. Lip burns caused by crack pipe
    17. Mucosal sloughing caused by tartar-control toothpaste

    Section 4: Salivary Gland - Reactive
    18. Necrotizing sialometaplasia

    Section 5: Infections - Bacterial
    19. Syphilis - secondary, presenting as lymphadenopathy
    20. Syphilis - secondary, presenting as leukoplakia

    Section 6: Infections - Fungal
    21. Candidiasis - mucosal presentations and their management
    22. Candidiasis - severe cheilitis/lip balms
    23. Candidiasis - perioral, due to petroleum jelly application
    24. Candidiasis - invasive in uncontrolled diabetic with oral ulcer
    25. Aspergillosis - patient being treated for leukemia

    Section 7: Infections - Viral
    26. Hand, foot and mouth disease mistaken for erythema multiforme
    27. Oral HSV-1 in a leukemia patient
    28. Oral primary herpes affecting a teenager
    29. Herpes - recurrent intraoral infection

    Section 8: Oral Manifestations of HIV Infection
    30. Oral Kaposi sarcoma mistaken for Crohn disease
    31. Recurrent candidiasis and Kaposi sarcoma in a previously undiagnosed HIV patient
    32. HSV causing a persistent tongue ulcer
    33. Oral lymphoma mimicking a pyogenic granuloma
    34. Oral aphthous ulcers in HIV-positive patients
    35. Oral histoplasmosis in AIDS patients
    36. HIV-positive man with squamous cell carcinoma
    37. Behcet syndrome in an HIV-positive man
    38. HIV-positive man with gingival ulceration
    39. HIV-positive man with a vascular anomaly of his lip

    Section 9: Oral Precancerous Conditions - Leukoplakia and Erythroplaki
    40. Precancerous oral lesions - three different presentations
    41. Erythroplakia of the floor of the mouth, treated with radiation
    42. Erythro-leukoplakia of young man’s tongue

    Section 10: Oral Precancerous Conditions - Proliferative Verrucous Leukoplaki
    43. A woman with palatal erythroplakia and pharyngeal “polyps”
    44. PVL of the mandibular ridge
    45. PVL of a young woman’s tongue
    46. PVL of the lateral tongue of a nurse, treated as lichen planus
    47. PVL, lichenoid, in a middle-aged man
    48. PVL, slowly progressive in an older man
    49. PVL, erosive, but eventually leukoplakia and carcinoma
    50. PVL, young woman with lichenoid tongue lesions
    51. PVL eventually transforming to verrucous carcinoma

    Section 11: Oral Squamous Cell Carcinoma (SCCa)
    52. Poorly differentiated Ca of buccal mucosa in a young woman
    53. SCCa of tongue treated as denture sore
    54. SCCa of gingiva arising in “lichen planus”
    55. SCCa of gingiva mistaken for cyclosporine hyperplasia
    56. SCCa of the lower lip in BMT patient, treated as infection
    57. SCCa of dorsal tongue, treated as candidiasis
    58. SCCa, large and destructive of the buccal mucosa
    59. SCCa, due to betel quid and cigarette use in an Indian man
    60. SCCa of the dorsal tongue. Mild dysplasia 10 years earlier.
    61. SCCa of the tongue treated as infection over several months
    62. SCCa of tongue thought to be due to a foreign body
    63. SCCa, massive lesion of the lower lip. Non-treatable.
    64. SCCa of the gingiva. Prior biopsy suggested dysplasia.
    65. SCCa of tongue in a 36-year-old woman
    66. SCCa mistaken for abscess in a 19-year-old male
    67. SCCa of the cheek in a man who used alternative treatments
    68. Verrucous Ca is managed with radiation in an older man
    69. Verrucous Ca is seen in the initial incisional biopsy…

    Section 12: Melanoma
    70. Oral melanoma in an edentulous man

    Section 13: Malignancies of Osseous Differentiation
    71. Osteosarcoma affecting a woman with Turner syndrome
    72. Osteosarcoma, massive, of a woman’s mandible
    73. Osteosarcoma, referred by the woman’s dentist

    Section 14: Hematopoietic Malignancies
    74. Lymphoma causing palatal swelling
    75. Lymphoma causing a posterior maxillary mass
    76. Granulocytic sarcoma in an older man and a teenager
    77. Multiple myeloma - presenting as tongue and eyelid nodules of amyloid
    78. Multiple myeloma in a man with tongue and neck swelling

    Section 15: Other Mesenchymal Malignancies
    79. Synovial sarcoma in a woman treated as TMJ dysfunction

    Section 16: Salivary Gland Malignancies
    80. Mucoepidermoid carcinoma misdiagnosed as a tattoo
    81. Mucoepidermoid carcinoma presenting as a tongue nodule
    82. Secretory carcinoma seen as a nodule in the buccal vestibule

    Section 17: Metastatic Disease
    83. Metastatic adenocarcinoma of the colon in a denture patient
    84. Metastatic lung carcinoma presenting as a tongue nodule
    85. Metastatic nasopharyngeal Ca involving the brain and gingiva
    86. Metastatic prostate carcinoma treated endodontically
    87. Metastatic renal cell Ca presenting as a large jaw swelling
    88. Metastatic malignant peripheral nerve sheath tumor in a boy

    Section 18: Vesiculobullous Disease
    89. Pemphigus vulgaris affecting a 15-year-old boy
    90. Mucous membrane pemphigoid leading to blindness
    91. Paraneoplastic pemphigoid caused by burn pit exposure
    92. Paraneoplastic pemphigus affecting a man with lymphoma

    Section 19: Immune-Mediated Disease
    93. Geographic tongue affecting a young woman
    94. Herpetiform aphthae and coated tongue in a young woman
    95. Lichenoid and granulomatous stomatitis in an elderly man
    96. Behcet syndrome in a woman with oral sores for months
    97. Pyostomatitis vegetans presenting as painful gingival lesions
    98. Crohn disease in a man with gingival swelling
    99. Crohn disease in a young woman with gingival swelling
    100. Cheilitis granulomatosa for years in a young woman
    101. Cinnamon reaction of the tongue noted for months
    102. Toothpaste reaction on both sides of the tongue
    103. Drug reaction causing diffuse oral ulcers for several years
    104. Erythema multiforme treated as oral candidiasis
    105. Wegener granulomatosis with palatal and gingival lesions

    Section 20: Oral Manifestations of Systemic Disease
    106. Brown tumor presenting as an enlarging mandibular mass
    107. Hypothyroidism in a girl whose teeth were not erupting
    108. Burning mouth syndrome in a middle-aged woman

    Section 21: Coincidental Cutaneous Lesions
    109. Cutaneous sinus of dental origin on the facial skin
    110. Recurrent basal cell carcinoma of the forehead
    111. Basal cell carcinoma involving the forehead of a student
    112. Pigmented basal cell carcinoma of the neck
    113. Superficial basal cell carcinoma behind the ear
    114. Basal cell carcinoma of the upper lip
    115. Recurrent basal cell carcinoma of the nasal ala
    116. Melanoma arising in a congenital melanocytic nevus
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