Erosion on the oral mucosa (differential diagnosis)

Erozije se klinički očituju kao plitke crvene i vlažne lezije, tankih rubova, različitog oblika i veličine koje ne krvare. Dubina oštećenja i zahvaćenost tkiva utječe na cijeljenje pa tako erozije cijele brzo i bez ožiljka, a ulceracije duže i s ožiljkom. Erozije i ulceracije oralne sluznice pojavljuju u kliničkoj slici različitih skupina bolesti gdje spadaju erozije oralne sluznice uzrokovane infekcijom, ozljedom, imunim i autoimunim bolestima, nasljednom bolesti, te zloćudnom promjenom. Dijagnostički postupak treba biti cijelovit i obuhvatiti detaljnu anamnezu i temeljit klinički pregled usne šupljine, glave i vrata, ali i detaljan dermatološki pregled čitave kože i vidljivih sluznica. Kako se erozije ubrajaju među najčešće lezije oralne sluznice, imaju višestruke uzroke i obilježja su brojnih bolesti od različitog kliničkog značaja potrebno ih je razlikovati prema dobro utvrđenim dijagnostičkim kriterijima.Erosions clinically appear as shallow red and wet lesions, with narrow edges, in different shapes and sizes and they do not bleed. The depth of the decay and the involvement of the tissues dictate the healing so erosions heal quickly and with no scar, whereas ulcerations heal longer and with a scar. Erosions and ulcerations of the oral mucosa appear on the clinical picture in various groups of illnesses including erosions of oral mucosa caused by infection, injury, immune and autoimmune diseases, inheridet disease and by the maligned changes. The diagnostic procedure should be complete and should incorporate detailed anamnesis and thorough clinical examination of the oral cavity, head and neck, alongside with detailed dermatological examination of the complete skin and visible mucosae. Since erosions are among the most common lesions of the oral mucosa, and are caused by various reasons, and are features of numerous illnesses of different clinical importance, it is essential to differentiate them according to well-established diagnostic criteria