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eFigure 33–2A. Recurrent oral aphthous stomatitis. A 58-year-old man presented with a 1-year history of recurrent painful sores in his mouth. He had lost 20 pounds over the year because it hurt so much to eat. The ulcers, which had a red base and were covered with a central white membrane, occurred in different locations—on his tongue, gums, inner lips, and buccal mucosa (shown here). HIV-AIDS is an underlying systemic disease that can be documented on work-up of such patients. (Used, with permission, from Richard P. Usatine, MD, in Usatine RP, Smith MA, Mayeaux EJ Jr, Chumley H. The Color Atlas of Family Medicine, 2nd ed. McGraw-Hill, 2013.) A photo of a pale, flat, glossy ulcer in the buccal mucosa. The margins are well-defined and reddish.

Current Medical Diagnosis & Treatment 2024 > HIV Infection & AIDS: Complications

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eFigure 33–2C. Minor aphthous ulcer occurring on the buccal mucosa. (Reproduced with permission from Richard P. Usatine, MD, in Usatine RP, Smith MA, Mayeaux EJ Jr., Chumley H. The Color Atlas of Family Medicine, 2nd ed. McGraw-Hill, 2013.) A photo of a pale, flat, spherical ulcer in the inside of lower lip. The ulcer has a slight depression at its center.

Current Medical Diagnosis & Treatment 2024 > HIV Infection & AIDS: Complications

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eFigure 36–1. Primary syphilis with a chancre over the lip of a woman. (Reproduced with permission from Richard P. Usatine, MD, in Usatine RP, Smith MA, Mayeaux EJ Jr, Chumley H. The Color Atlas of Family Medicine, 3rd ed. McGraw-Hill, 2019). A patient with primary syphilis exhibits a large round eroded ulcer with a thick raised peripheral zone, above the vermilion border of upper lip.

Current Medical Diagnosis & Treatment 2024 > Clinical Stages of Syphilis

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eFigure 6–40. Herpes simplex. (Used, with permission, from TG Berger, MD, Dept. Dermatology, UCSF.) A photo shows brown blisters, each with a white spot on the lips and chin of a patient.

Current Medical Diagnosis & Treatment 2024 > Herpes Simplex (Cold or Fever Sore; Genital Herpes)

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Figure 6–12. Orolabial herpes simplex showing deroofed blisters (ulcer). (Reproduced with permission from Richard P. Usatine, MD, in Usatine RP, Smith MA, Mayeaux EJ Jr, Chumley H. The Color Atlas of Family Medicine, 2nd ed. McGraw-Hill, 2013.) A photo of a pink and white blister on a patient's upper lip.

Current Medical Diagnosis & Treatment 2024 > Herpes Simplex (Cold or Fever Sore; Genital Herpes)

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Figure 6–15. Typical honey-crusted plaque on the lip of an adult with impetigo. (Reproduced with permission from Richard P. Usatine, MD, in Usatine RP, Smith MA, Mayeaux EJ Jr, Chumley HS. The Color Atlas and Synopsis of Family Medicine, 3rd ed. McGraw-Hill, 2019.) A patient with impetigo exhibits yellow, crusty plaques on the lower lip and just below the mouth.

Current Medical Diagnosis & Treatment 2024 > Impetigo

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eFigure 6–82. Malar and facial erythema and scale in a 22-year-old woman with a flare of acute cutaneous lupus. This patient has had SLE since age 17 and the flare occurred after extended sun exposure. Note how the flare is not just on the malar area. (Reproduced with permission from Richard P. Usatine, MD, in Usatine RP, Smith MA, Mayeaux EJ Jr, Chumley HS. The Color Atlas and Synopsis of Family Medicine, 3rd ed. McGraw-Hill, 2019.) A patient with malar and facial erythema exhibits red erythematous patches on the forehead, eyebrows, cheeks, nose, and lips. There are some open sores within the erythema.

Current Medical Diagnosis & Treatment 2024 > Cutaneous Lupus Erythematosus

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eFigure 6–103. Patient with erythema multiforme major demonstrating oral lesions on lips, buccal mucosa, and tongue. (Used, with permission, from S Goldstein, MD.) A photo shows scaly oran lesions on a patient's lips, tongue, and chin.

Current Medical Diagnosis & Treatment 2024 > Erythema Multiforme/Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis

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eFigure 22–30. Behçet syndrome characterized by recurrent oral and genital ulcers in a 17-year-old girl. (Used, with permission, from Richard P. Usatine, MD, in Usatine RP, Smith MA, Mayeaux EJ Jr, Chumley HS. The Color Atlas and Synopsis of Family Medicine, 3rd ed. McGraw-Hill, 2019.) A patient with Behcet disease exhibits white ulcers in the inner side of lower lip and inflammation of gums.

Current Medical Diagnosis & Treatment 2024 > Behçet Disease

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