Eosinophilic ulcer of the oral mucosa


Eosinophilic ulcer of the oral mucosa is a condition characterized by an ulcer with an indurated and elevated border. The lesion might be tender, fast-growing and the patient often not be aware of any trauma in the area.

Causes

It is often associated with trauma. However, other causes are suspected, such as drugs, inherent predisposition, immune reaction, or lymphoproliferative disorder.

Diagnosis

Differential Diagnosis

Squamous Cell Carcinoma, Pyogenic granulomas, Lesions of a chronic granulomatous disease and Mesenchymal tumors

Definition

Traumatic eosinophilic granuloma of the tongue is a reactive condition that commonly occurs on the ventral tongue.

Treatment

When the lesion is excised, recurrence often occurs. Palliative care with nonsteroidal anti-inflammatory drugs may be used, and topical steroids can be curative. If the lesion does not respond to treatment, biopsy is required.