alexa Pigmentary Disorders of Oral Mucosa
ISSN: 2376-0427

Dermatology and Dermatologic Diseases
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Previously: Journal of Pigmentary Disorders

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Review Article

Pigmentary Disorders of Oral Mucosa

Patil S1, Raj T1, Rao RS1 and Warnakulasuriya S2*
1Department of Oral Pathology and Microbiology, Faculty of Dental Sciences, M.S. Ramaiah University of Applied Sciences, Bangalore, India
2Department of Oral Medicine, Kings College London Dental Institute, WHO Collaborating Centre for Oral Cancer, London, UK
Corresponding Author : Warnakulasuriya S
Department of Oral Medicine
Kings College London Dental Institute
WHO Collaborating Centre for Oral Cancer, London, UK
Tel: +4402071887188
E-mail: [email protected]
Received: October 02, 2015; Accepted: November 13, 2015; Published: November 20, 2015
Citation: Patil S, Raj T, Rao RS, Warnakulasuriya S (2015) Pigmentary Disorders of Oral Mucosa. Pigmentary Disorders 2:225. doi:10.4172/2376-0427.1000225
Copyright: © 2015 Patil S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Oral mucosa under physiological condition contains a certain degree of chromic variation. Differentiating such physiological variations from pigmented lesions appears challenging without a histopathological confirmation. In several oral lesions, pigmentation is a part of the primary pathology or a secondary change to an existing entity. The pigments involved in both physiological and pathological conditions can be broadly categorised as exogenous or endogenous. Among these, melanin accounts for the majority of black to brown pigmentation including malignant melanoma. Clinically, their biological behaviour shows an ambiguity which makes it challenging to arrive at diagnosis for even the experienced practitioner. Although biopsy confirms and reassures the patient, it is impractical to biopsy all pigmented lesions. The standard diagnostic algorithm given below is to aid the clinician to diagnose and treat this diverse group of lesions.

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