PMC5932522_01
Initial intraoral clinical appearance showing the moriform aspect in the right buccal floor and alveolar ridge.
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A granulomatous ulcer with hemorrhagic dots and moriform aspect was observed in the posterior mandibular alveolar ridge and in the right jugal mucosa (Figure 1).
Ulcerated lesion in the right cervical/submandibular region.
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He had an ulcerated lesion in the right cervical region with serous exudate (Figure 2).
Computed tomography cuts showing lymph node enlargement as a hypodense and heterogeneous image in the right submandibular region.
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CT scan revealed images compatible with cervical lymphadenopathy in the right side and exteriorization of the infectious process through cutaneous fistula (Figure 3). Chest X-ray showed infiltrative lesions with reticulonodular aspect in butterfly-wing shape.
Anatomopathological examination image.
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In depth, there were fragments of mineralized tissue and hemorrhagic areas (Figure 4).
Intraoral oral appearance after antifungal therapy demonstrating lesion regression.
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After 1-year follow-up, the patient was asymptomatic and presented remission of the oral and cervical lesions (Figures 5 and 6).
Clinical aspect of the submandibular/cervical region showing the remission of the ulcerated lesion and associated fistula.
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After 1-year follow-up, the patient was asymptomatic and presented remission of the oral and cervical lesions (Figures 5 and 6).
PMC5932522_02
Classical presentation of PMC as exuberant hemorrhagic dots.
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Clinical examination verified an ulcerated lesion with hemorrhagic dots, a classic aspect of PCM (Figure 7).
PMC5932522_03
Frontal view of the patient presenting ulcers on the lips and associated cutaneous erythema.
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A 57-year-old male patient who was a rural worker and smoker with systemic arterial hypertension attended the outpatient clinic complaining about "sore and pain in the lips and mouth." Clinical examination revealed the presence of erythematous ulcers in the lips and oral mucosa; the patient had a slight limitation of mouth opening due to the inflammatory process installed in the lips (Figures 8 and 9).
Ulcerated lesion in the jugal mucosa, lips, and buccal commissure.
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fig9
A 57-year-old male patient who was a rural worker and smoker with systemic arterial hypertension attended the outpatient clinic complaining about "sore and pain in the lips and mouth." Clinical examination revealed the presence of erythematous ulcers in the lips and oral mucosa; the patient had a slight limitation of mouth opening due to the inflammatory process installed in the lips (Figures 8 and 9).
PMC5932522_04
Ulcerated lesion of approximately 4 cm in the right jugal mucosa and buccal commissure.
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fig10
His main complaint was a "bleeding wound in the mouth." Clinical examination revealed an ulcer lesion of approximately 4 cm associated with hemorrhagic dots (Figure 10).
PMC5932522_05
Erythematous lesion in the gums of the right maxilla and associated dental mobility.
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A 38-year-old male patient who was a rural worker and smoker presented to the clinic, and he denied comorbidities and complained about gingival bleeding when he brushed his teeth (Figure 11).