# Oral Patho significant keywords

Cotton wool/ball: Paget’s disease

Punched-out: Multiple Myeloma
Onion skin: Ewing’s Sarcoma
Onion skin: Garre's Osteomyelitis
Ground glass: Hyperthyroidism by renal osteodystrophy
Ground Glass: Fibrous dysplasia
Starry-sky: Burkitt’s Lymphoma
Mouth-eaten: SCC
Moth-eaten: Osteomyelitis
Moth-eaten: Burkitt’s Lymphoma
Moth-eaten: Ewing’s sarcoma
Moth-eaten: osteosarcoma
Moth-eaten: chondrisarcoma
Codman’s triangle: osteosarcoma
Ice cream scoop aspect “Discrete punched out” floating teeth: langerhans cell histocytosis
Hand-Schüller-Christian triad: Lytic bone lesion (multifocal langerhans cell histocytosis), Diabetes insipidus,
exophthalmos
Sun burst “sun-ray”: osteosarcoma
Hair on end appearance: sickle cell anemia & Thalassemia
Beaten metal: crouzon syndrome
Salt n pepper: calcifying odontogenic cyst
Step ladder: sickle cell anaemia
Gustatory sweating: Frey syndrome
Hour glass thorax: Osteomalacia
Pigeon breast: Rickets
Barrel chest: cystic fibrosis
Coast of Maine (irregular café au lait spots on the torso & sometimes intraorally): McCune Albright syn: severe
polystotic fibrous dysplasia
Café au lait; with multiple bone lesion of fibrous dysplasia: Jaffe-Lichtenstein syndrome
Café au lait macules; coast of California: Von Recklinghausen dis of skin “Neurofibromatosis type1” DD O.P30
Ghost Cell: COC calcifying odontogenic cyst
Ghost Teeth: Regional odontodysplasia
Ghost teeth: Odontogenisis Imperfecta
Honeycomb: Odontogenic Myxoma (myxofibroma)
Soap bubble or honeycombed appearance : Ameloblastoma
Rudimentary teeth: compound odontoma
Intussusception of bowels: PJ syndrome
Buffalo hump: Cushing’s syndrome
Tyndall effect: Common Blue Nevus
Spider veins: Hereditary hemorrhagic telangiectasia HHT (Rendu-Osler-Weber syndrome)
Port-wine stain over the trigeminal nerve: Sturge-Weber angiomatosis
cANCA (antineutrophil cytoplasmic antibodies): Wegener granulomatosis
Geographic necrosis: Wegener granulomatosis
Raspberry appearance: Pyogenic granuloma
Pregnancy tumor: Pyogenic granuloma
Snowflake calcifications: Adenomatoid odontogenic tumor
Triangular radiolucent defect lateral to roots: (SOT) squamous odontogenic tumor DD O.Patho 112
Static bone cyst: Stafne bone defect
Epimyoepithelial islands: Mikulicz “benign lymphoepithelial lesion”
Frog’s belly: Ranula
Coin lesion on chest X-ray: histoplasmosis
Swiss cheese: cribriform pattern, Adenoid cystic carcinoma ACC
Butterfly-shaped (malar) rash: Systemic Lupus Erythematous
Bull's eye (Target Lesion): Erythema Multiforme; Stevens-Johnson Syndrome
Screwdriver-shaped centrals (Hutchinson): Congenital Syphilis
Mulberry molars: Congenital Syphilis
Auspitz phenomenon and koebner phenomenon: psoriasis
Antrolith: Aspergillosis OPatho156
Whitlow finger: HSV1, HSV2 OPatho158
Tznack cells: HSV, pemphigus vulgaris OPatho159
Lipschütz bodies: HSV OPatho159
Nikolsky's sign: Stevens–Johnson syndrome
Nikolsky's sign: staphylococcal scalded skin syndrome (caused by the exfoliative toxin of Staphylococcus
aureus)
Nikolsky's sign: Erythema Multiforme
Nikolsky's sign: pemphigus vulgaris and pemphigus foliaceus
Acantholysis: Pemphigus
Snail track: secondary syphilis, Pyostomatitis vegetans
Cobblestone appearance: Palatal papillomatosis (papillary hyperplasia)
Morsicatio buccarum: cheek biting hyperkertosis
Mitten-like deformity: hand scarring of recessive dystrophic epidermolysis
Lace-like webbing “ Wickham straie”: Lichen planus
Civatte (colloid, cytoid, hyaline) bodies: degenerating keratocytes in Lichen planus
saw tooth epithelium (loss of retepegs): Lichen planus
chewing of betel quid: oral submucous fibrosis
marble like appearance: early oral submucous fibrosis
fissured tongue: Melkersson-Rosenthal Syndrome (along with granulomatous cheilitis and facial nerve
paralysis)
Driven-snow: Calcifying Epithelial Odontogenic Tumor (CEOT)
Plummer Vinson syndrome : predisposition to oral and pharyngeal carcinoma
Strawberry tongue: Scarlet Fever
Strawberry tongue: Kawasaki Disease
Strawberry tongue: Toxic shock syndrome
Strawberry gingivitis: Wegener granulomatosis
Raspberry like appearance: Cavernous hemangioma
Cratered gingiva: punched out papilla: ANUG
Epstein pearls: whitish-yellow cysts that form on the gums and roof
of the mouth in a newborn baby.
Bohn’s nodule: numerous nodules on alveolar ridge in Neonate (keratin-filled cysts of salivary gland origin, on
junction of hard/soft palate + buccal/lingual of dental ridges, away from midline)
Warty vegetation on valves: Libman-Sacks Endocarditis Assoc. with SLE.
Cicatricial pemphigoid= Chronic desquamative gingivitis
Cauliflower appearance: verrucous carcinoma
Cauliflower-like mass: Squamous cell papilloma
Cauliflower-like: condyloma accuminata (HPV)
Thistle tube-like pulp: Dentin Dysplasia
Orange peel: of fine dense trabecule in late stage fibrous dysplasia
Blue sclera: osteogenesis imperfecta assoc. with DI type I
Opalescent teeth: DI
Conical “peg” shaped: Ectodermal dyasplasia
Palmar pitting: with Gorlin Goltz: odontogenic keratocyst
Sausage like appearance: ductal sialadenitis: segment of duct dilation and stenosis due to sialolith.
Inverted Y of ennis: Antral pseudocyst “sinus retention cyst”
Koplik’s spots: Measles m“Rubeola”