PSEUDOMEMBRANOUS PLAQUE STOMATITIS

Objectives: The oral mucosa is a susceptible component of our anatomy with explicit implications on our well being. Consequently an unfamiliar pattern of oral mucosa pathology will raise much concern. Confronting unrecognized lesions undoubtedly challenges our professional acumen and clinical expertise. In attempt to discern the gravity of an exceptional condition the caring dermatologist may contemplate to indulge any of a number of approaches with different levels of intervention. This paper describes the rationale for choosing a conservative clinical management approach to two children exhibiting unique oral lesions. Methods: Two youngsters arriving for consultation, presented approximately twelve months apart with similar oral lesions. They were examined and thorough case histories were taken. The findings were photographed, a bacterial culture was taken and follow up ensued. Results: Both youngsters displayed pseudomembranous plaques covering a limited zone of the oral mucosa. One case involved the inner buccal wall and the next the inferior vestibule. Histories failed to disclose environmental, local, infectious or inflammatory inciting factors contributing to their appearance. Without intervention the lesions resolved spontaneously without further sequelae. The discussion digresses upon the differential diagnosis to be considered setting an outline for a systematic approach to oral mucosal pathology. Conclusions: This condition's unique characteristics justify its recognition as a novel entity. This report should arouse awareness of the justification of a conservative approach to such cases, whose future investigations and clinical histories may assist to elucidate the etiology standing behind its development.