Home
Page

Head & Neck
Diagnostics

Center's
Services

Contact
Us!

The Book
of Lists

Research,
Reading

Oral Pathology
Connections

Oral Premalignancy

Oral Disease Epidemiology

Osteonecrosis (NICO)

Table 85: Granulomatous Diseases of the Head & Neck


Table 85: Granulomatous lesions affecting the oral and oropharyngeal submucosa. These are collectively called orofacial granulomatosis.

Diagnosis Distinguishing Diagnostic Features
Tuberculosis Bacillus demonstrated by acid fast stain; areas of caseous necrosis
Tertiary syphilis (gumma) Spirochetes demonstrated by _____
Sarcoidosis No microorganisms identified
Crohn's disease GI involvement, no microorganisms identified
Wegener's granulomatosis Destruction of underlying bone, vasculitis, no microorganisms identified
Granulomatous gingivitis Gingival location only
Eosinophilic granuloma Combination of eosinophils, multinucleated giant cells, histocytes
Mycotic granulomatous infection Fungus identified by silver stains
Foreign body reaction Identification of associated foreign material
Cholesterol granuloma Identification of associated submucosal inclusion cyst and cholesterol clefts
Cheilitis granulomatosis Association with Melkersson-Rosenthal syndrome
Salmonella infection Bacteria identified by gram stain