Atypical palatal ulceration.

Department of Immunology, Guy's Hospital, Floor 28, London SE1 9RT, UK JAG Buchanan AS Hasan L Churchill F Fortune A 41-year-old unmarried woman presented with a painful solitary ragged palatal ulcer of 3 cm diameter with a well-defined raised rolled margin and necrotic central base. The ulcer had been first noticed some six weeks previously as a persistent white plaque and was unresponsive to antibiotic therapy. The patient had smoked 15 cigarettes/day for the past 15 years and there was no history ofintravenous drug abuse, unprotected sex or blood transfusion. General examination was unremarkable and there were no systemic symptoms.

[1]  Martin A. Lewis.  Colour atlas of oral disease. Clinical and pathologic correlations , 1995 .

[2]  R. Siegel,et al.  Recurrent aphthous ulcers in association with HIV infection. , 1993, Oral surgery, oral medicine, and oral pathology.

[3]  B. Rodu,et al.  Oral mucosal ulcers: diagnosis and management. , 1992, Journal of the American Dental Association.

[4]  Batsakis Jg,et al.  Midfacial necrotizing lesions. , 1987 .

[5]  J. Batsakis,et al.  Midfacial necrotizing lesions. , 1987, Seminars in diagnostic pathology.

[6]  A. Abrams,et al.  Necrotizing sialometaplasia. A disease simulating malignancy , 1973, Cancer.

[7]  J. Berg,et al.  Occurrence and prognosis of extranodal lymphomas , 1972, Cancer.