TUGSE

Traumatic ulcerative granuloma with ulcerative eosinophilia

Introduction

The term was suggested by ELZAY in 1993. Reactive, benign, asymptomatic, self limiting lesion of oral mucosa.

Etiology

Remains obscure & may be associated with trauma i.e, due to malposed teeth, or a partial denture, or RIGA FEDE DISEASE.

Atypical eosinophilic ulcerations

Rare lesion and exhibits sequential ulceration, necrosis, and self regression. Represent the oral counterpart of T cell cutaneous lymphoproliferative disorder(CD30+).

Clinical features

Common in anteroventral and dorsal surfaces of tongue. Persist for weeks to months and resemble traumatic ulcers. Center of the lesion is covered by a removable yellow fibropurulent membrane with erythematous borders.

Histologic features

Similar to traumatic ulceration, characterized by dense and deeply infilterative lymphoproliferation, showing epitheliotropism and massive eosinophilia.

Treatment & Prognosis

Treatment is similar to traumatic ulcer. Even larger lesions heal rapidly after a biopsy.

References

-Shafer's Textbook of Oral Pathology

-Oral and Maxillofacial Pathology Brad W. Neville, Douglas D. Damm, Carl M. Allen

-Oral Pathology by Regezi, Sciuba, Jordan.