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The Oral Mucosa

  • Chapter
Atlas of Oral Pathology

Part of the book series: Current Histopathology ((CUHI,volume 8))

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Abstract

Tuberculous lesions are uncommon in the mouth and are usually secondary to open pulmonary tuberculosis. A tuberculous ulcer is the usual presentation, the dorsal surface of the tongue being the typical site1. The ulcer tends to be single, painful, and characteristically has irregular, undermined edges and a friable, granular floor. Microscopy shows the corium to be infiltrated by epithelioid granulomas with moderate numbers of Langhans giant cells (Figures 5.1 and 5.2). Extensive caseation is uncommon and it is unusual for tubercle bacilli to be identified either by Ziehl-Neelsen stain or by immunofluorescent techniques. Chest radiographs and sputum culture are much more likely to lead to definitive diagnosis.

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Authors and Affiliations

  1. University of London, UK

    R. B. Lucas (Emeritus Professor of Oral Pathology)

  2. Department of Oral Medicine and Pathology, Guy’s Hospital, London, UK

    J. W. Eveson (Senior Lecturer and Honorary Consultant)

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  1. R. B. Lucas
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  2. J. W. Eveson
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© 1985 R. B. Lucas and J. W. Eveson

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Lucas, R.B., Eveson, J.W. (1985). The Oral Mucosa. In: Atlas of Oral Pathology. Current Histopathology, vol 8. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-5580-6_5

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  • DOI: https://doi.org/10.1007/978-94-009-5580-6_5

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-8959-3

  • Online ISBN: 978-94-009-5580-6

  • eBook Packages: Springer Book Archive

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