Oral leukoedema

Sucking Pads: A Report of Two Newborns

“…Oral thrush also sometimes mimics the sucking pad [ 4 ]. Another diagnosis confused with the sucking pad is leukoedema, which is a diffuse opalescent, non-peeling lesion of the buccal or labial mucosa which has been detected in newborns, teenagers, and also in adults [ 6 - 8 ]. Although there were no definite aetiologies suggested as the cause for leukoedema, possible reasons proposed include cheek biting and thumbsucking in babies [ 7 ].…”

Diffuse Whitening of the Oral Mucosa in a Child

“…Histopatbologic examination reveals epidermal hyperplasia, hyperkeratosis, and parakeratosis as well as cellular vacuolization in the granular and squamous layers due to intracellular edema (1,5-8) without nuclear atypia. The squamous epithelium may di.splay isolated or clustered cells showing a well-defined, eosinophilic, peri-or paranuclear condensation of cytoplasm (6,7,9). On electron microscopy, these inclusions are fonned of dense aggregates of tonofilaments (7,8).…”

“…Histopathology .shows epithelial thickening vvitli broad, irTegular rete ridges and intracellular edema of the malpighian layer. No inflamtnator\' cell infiltrate, dyskeralotic cells, or nuclear atypia are seen (9). Leukoedema has been related to poor dental hygiene (14) and topical irritants (13).…”

“…Characteristically such lesions have an intermittent course and they may become less white when stretched. Histopathology .shows epithelial thickening vvitli broad, irTegular rete ridges and intracellular edema of the malpighian (9). Leukoedema has been related to poor dental hygiene (14) and topical irritants (13).…”

Reply to: “Comment on ‘Desquamative gingivitis: Clinical findings and diseases’”

“…Diagnosis can be further established on histopathologic studies, which show the lichenoid infiltrates of lichen planus lacking and marked intracellular edema of the spinous layer within an acanthotic epidermis with overlying parakeratosis. 3 Unlike other mimics of leukoedema, such as lichen planus or leukoplakia, this condition has no tendency to become malignant.…”