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Oral Diagnosis and Oral Medicine Competency Case. BY AMY M. GENSWEIDER PATIENT # 322 3 20 10-27-10. The Patient. 73 year old patient African American Has many medical issues including MGUS – causes an increase in cancers esp. leukemia and lymphoma Markers for Lupus Osteoarthritis
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Oral Diagnosis and Oral Medicine Competency Case BY AMY M. GENSWEIDER PATIENT # 322 3 20 10-27-10
The Patient • 73 year old patient • African American • Has many medical issues including • MGUS – causes an increase in cancers esp. leukemia and lymphoma • Markers for Lupus • Osteoarthritis • High BP • Sjogren’s Syndrome • Penicillin and Sulfur allergies
The Lesion • Large, dark red-brown • Plaque-like • Localized on the palate • Appears • Flat • Well-defined • Only in the epithelium
Differential Diagnosis • Melanoma • Ethnic Markings • Non-malignant Melanotic Macule
Patient Dialogue • Have you ever noticed any other lesions like this on other parts of your body? • Are you taking any new medications? • When was the last time you saw your physician? • When was the last time you visited a dentist?
Patient Diagnosis/Treatment • After biopsy at KU Medical Center, decided lesion was not malignant and possibly an ethnic marking. However, we as well as her regular physicians, want to check its measurements every 6 months to a year. • Patient does have 2 ethnic markings on either side of her palate.