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Koplik's spots (also Koplik's sign) are a prodromic viral enanthem of measles manifesting two to three days before the measles rash itself. They are characterized as clustered, white lesions on the buccal mucosa (opposite the upper 1st & 2nd molars ) and are pathognomonic for measles . [ 2 ]
Fordyce spots on scrotum Fordyce spots on lips. On the shaft of the penis, Fordyce spots are more visible when the skin is stretched, and may only be noticeable during an erection. [8] The spots can also appear on the skin of the scrotum. [8] Oral Fordyce granules appear as rice-like granules, white or yellow-white in color.
Smokeless tobacco keratosis (STK) [4] is a condition which develops on the oral mucosa (the lining of the mouth) in response to smokeless tobacco use. Generally it appears as a white patch, located at the point where the tobacco is held in the mouth. The condition usually disappears once the tobacco habit is stopped.
Leukoedema lesions disappear when the mucosa is stretched, which helps to differentiate it from other white lesions in the mouth. [2] The differential diagnosis is with leukoplakia , oral candidiasis , oral lichen planus , white sponge nevus , morsicatio buccarum , [ 3 ] hereditary benign intraepithelial dyskeratosis and dyskeratosis congenita.
[3] [4] Small white spots known as Koplik's spots may form inside the mouth two or three days after the start of symptoms. [4] A red, flat rash which usually starts on the face and then spreads to the rest of the body typically begins three to five days after the start of symptoms. [4]
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It usually occurs within the mouth, although sometimes mucosa in other parts of the gastrointestinal tract, urinary tract, or genitals may be affected. [10] [11] [12] The cause of leukoplakia is unknown. [6] Risk factors for formation inside the mouth include smoking, chewing tobacco, excessive alcohol, and use of betel nuts.
Other forms of abuse included Cooper bashing the girl in the face with a belt buckle, holding her head underwater for as long as 10 seconds and spitting on her, the child told investigators.