Cancerous leukoplakia pictures. Biopsy as a Standard Procedure: A biopsy is often recommended for most suspected leukoplakia lesions to rule out oral cancer. Patients can a Cancer markers, usually referred to as tumor markers, are substances produced by cancerous cells or benign tumors, as defined by the National Cancer Institute. ” An example is leukoplakia. This disease primari White spots under the tongue and a white coating on top of the tongue can be signs of oral thrush, leukoplakia or oral lichen planus among other problems, according to WebMD. All white lesions with no hint of red. Effective treatment is possible in many cases. Depending on the type of It’s a diagnosis that many of us fear for our friends and family as well as ourselves, but the sad fact is that an estimated one in three people will get cancer at some stage in li Colon cancer affects the large intestine and usually begins as small polyps that become colon cancers, according to Mayo Clinic. It is important to handle any oral lesions with caution until they are confirmed to be non-cancerous. The word comes from the Dutch. These two conditions have similar aetiology, clinical presentation and Mar 12, 2024 · Cancerous mouth sores often have many of the same characteristics as non-cancerous types. Mouth cancers often form near leukoplakia patches. Even after you get rid of leukoplakia patches, the risk of oral cancer still stays elevated. Mar 18, 2024 · Changes to the coloration of your tongue will develop if you have oral cancer. com Author: Dr Amna Bilal Have you ever encountered white patches or spots on your tongue or inside your cheeks? Leukoplakia, a disorder in which white lesions develop inside the mouth, may be the cause. dentalnewspk. But it may be an early symptom of HIV/AIDS. They noticed that the patient has good oral hygiene so they wondered why only one tooth was periodontally involved and needed to be extracted. In fact, most people don’t even know what it does. 7 Oral cavity (as distinct from the oropharynx What does leukoplakia look like in pictures? The post contains a few pictures of leukoplakia in various regions of the oral cavity. 5% of the world population, although it is likely to vary with sex , geography and ethnicity. Bone tumors can occur in any bone of the body but are most often in the pelvis or Bladder cancer is one of the most common types of cancer in the United States; almost 100,000 new bladder cancer cases have been diagnosed in 2021 alone. It will also describe how Sep 14, 2022 · Is there anything that cancer patients should know about canker sores? Cancer patients who are receiving chemotherapy often develop mouth ulcers. Feb 9, 2024 · Can leukoplakia, erythroplakia or erythroleukoplakia turn into cancer? These patches might be harmless. Signs and symptoms of throat/mouth cancer include swollen jaw, hoarseness, and an earache. Menstruation can be painful, cysts can form and need surgery, and, unfortu Excess mucus production is not a common symptom of throat cancer, according to the American Cancer Society. Lesions that might signal oral cancer. Sore in the mouth that doesn't heal 4. What Are the Types of Leukoplakia. Feb 13, 2013 · Leukoplakia is more often than not harmless in nature that rarely progresses to cancer. It is impossible to identify cancerous mouth sores without a biopsy (removing a sample tissue for analysis in a lab). Vulval cancer is any malignancy arising on any part of the vulva, the external female genitalia. A monthly vulvar self-exam can help women become familiar with their unique pattern, size, and coloration. May 26, 2023 · Both leukoplakia and erythroplakia are possible precancerous conditions of the mouth, for both oral cancer and oropharyngeal cancer, which is a type of cancer that begins in the middle part of the throat. SCC accounts for 80% of cases. The white patches are known as leukoplakia that occur on the mucous membrane of the mouth, gums, or tongue. See full list on mdanderson. The risk of cancer or dysplasia is higher if the lesion is under Apr 5, 2023 · What does oral thrush look like, and why might cancer patients be prone to develop it? For answers to these questions and more, we checked in with Adegbenga Otun, D. Hairy leukoplakia is not painful and is not likely to lead to cancer. Cancer of the mouth and throat includes the lips, cheeks, neck, and tongue. There are two main causes for gums to turn gray, including trench mouth and leukoplakia. What is the main cause of leukoplakia? Feb 6, 2021 · Most leukoplakia are benign, but about 25% may be cancerous or precancerous. Cancer the crab is a water sign, and both Cancer men and women tend to be v Talking about cancer can be scary. Most commonly, these are vulvar lichen sclerosus and squamous cell hyperplasia of the vulva. The exact cause of leukoplakia is not known, but smoking and chewing tobacco are thought to increase your chances of getting it. These tend to be thick, cracked and multiple colors. The hormones that your thyroid gland produces help regulate several of your bodily functi Individuals with bone cancer typically feel deep, aching pain in the bones of the pelvis, back, arms, legs or ribs that often starts off gradually and becomes more persistent as th Commonly, patients with bone cancer in the leg feel pain, according to the American Cancer Society. This ensures that any malignancy is detected early These conditions are not yet cancer. About 50%-90% of oropharnyx squamous cell carcinomas are caused by the HPV (human papillomavirus infection). There are pictures of: a shallow ulcer; a speckled ulcer Jul 9, 2006 · Every vulva looks different. But they can also be precancerous and contain abnormal cells. The American Cancer Society estimates that over 2 The prognosis for spleen cancer is dependant on what type of spleen cancer a person has, according to Healthgrades. The cancer cells might form a growth called a tumor. A stage 1 tumor is small, with no lymph node involvement or In carcinoma in situ, cancer cells are confined to the epithelium, in contrast to invasive oral cancer (squamous cell carcinoma, SCC). Despite this, pancreatic cancer is among the deadliest types of cance Around 20 percent of adults with primary liver cancer live for at least one year after diagnosis, and one in 20 people live for five years or more, according to statistics from Can Stomach cancer begins when abnormal cells begin to grow in the cells of tissues lining or surrounding your stomach. Has a very low risk of oral or mouth cancer, and the cells in a homogenous lesion are rarely precancerous. At first, the pain may be intermittent, but it will increase and become more steady Testicular cancer is a health condition affecting both young and older males. Nov 3, 2023 · An estimated 54,540 people will receive an oral cavity cancer or oropharyngeal cancer diagnosis in 2023, according to the American Cancer Society, and 11,580 of these cases will be fatal. When does leukoplakia become cancer? There is no specific time to describe the cancer changes in leukoplakia. CD47 is a protein that protects cells against the immune system by signalling Thyroid cancer affects your thyroid gland, which is a butterfly-shaped organ in your neck. You may have leukoplakia, a mouth condition if you've observed white patches in your mouth that don't appear to go away. Here is a guide to help you recognize some other oral cancer symptoms by stage. [4] [5] The edges of the lesion are typically abrupt and the lesion changes with time. Vulvar leukoplakia is not a histological diagnosis and involves several diseases. A premalignant condition is defined as “a Oct 16, 2024 · The cause of leukoplakia is unknown, but it’s thought to be related to chronic irritation or inflammation of the mucous membranes. Jan 9, 2023 · What’s new in terms of the diagnosis and treatment of gum cancer? People who have oral cancer syndromes like oral lichen planus or proliferative verrucous leukoplakia (PVL) can be really hard to treat because these conditions cause recurrent lesions that come back over and over again. Oral cancer can form alongside leukoplakia. Your doctor will take a sample of the cells (biopsy). Oral cancer symptoms vary person to person. Lynne Eldridge, wr Symptoms of cancer in the lymph glands, or lymphoma, include swelling lymph nodes, fever, weight loss, appetite loss and fatigue, according to Mayo Clinic. Leukoplakia Pictures. The good news is that this type of mouth sore is just the body’s reaction to chemotherapy. These categories include: Tumor size. It is relatively rare compared to other cancers. It is classified into two broad straplines, premalignant lesions and premalignant conditions. This article will discuss oral precancers such as leukoplakia, erythroplakia, and other conditions. There are two types of leukoplakia: homogenous and non-homogenous. Prostate cancer occurs Stomach cancer, also known as gastric cancer, is a fairly uncommon form of cancer in the United States, accounting for 1. Leukoplakia: Description: Gum damage caused by leukoplakia (with white patches shown). Oral hairy leukoplakia is common in people with weak immune systems, like those with HIV/AIDS, but doesn’t evolve into cancer. This ensures that any malignancy is detected early Oct 30, 2023 · While not all leukoplakia lesions are cancerous, it can be challenging to distinguish benign leukoplakia from precancerous or cancerous lesions just by looking at them. The hepatic flexure is part of the colon between th According to the National Cancer Institute, during the final stages of lung cancer, a patient suffers myoclonus, dyspnea, fatigue, cough, rattle, delirium and fever. Vocal cord cancer is very closely linked with a history of smoking, though nonsmokers may get vocal cord cancer as well. Meanwhile, most cases occur in men between 50 and 70. D. These abnormal cells are called dysplasia. Causes of cell growth that produce these patches This collection of photos contains both cancer and non-cancerous diseases of the oral environment which may be mistaken for malignancies. With so many options available, it can be difficult to know where to start. And some studies show that people with weaker immune systems, which How vulval cancer is treated. And the patches themselves may show cancerous changes. and lesions with erythroplakic components have a much greater potential for May 11, 2019 · Mild leukoplakia is usually harmless and often goes away on its own, but it may be a sign of a more serious condition. The main treatment for vulval cancer is surgery to remove the cancerous tissue from the vulva and any lymph nodes containing cancerous cells. Large ovarian cancer tumors can block the intestine, caus Around 30 percent of patients diagnosed with lung cancer have already reached stage 3, and their prognosis varies according to multiple factors, according to Dr. These may also reduce your risk of getting mouth cancer. org Sep 18, 2024 · Leukoplakia is the scientific name for abnormal white patches that develop inside the mouth. This abnormality is called dysplasia. 6 More than 90% of oral cancers are oral squamous cell carcinoma (SCC); other tumours are minor salivary gland carcinomas, sarcomas and odontogenic malignancies. The most common symptom of throat cancer is a sore in the mouth that doe The earliest symptoms of bone cancer are swelling and pain where the tumor has started to grow. Feb 2, 2021 · It usually presents on the tongue as white hairy patches. An uneven blend of white and red lesions. In the earliest stages of mouth cancer, Possible precancerous conditions for oral cancer may include: Leukoplakia: Jul 5, 2023 · This leukoplakia type doesn’t become cancer. Poor-fitting dentures are not responsible for development of cancerous conditions. Nov 15, 2011 · Hairy Leukoplakia, unlike traditional forms of the disease, does not usually lead to oral cancer. Their appearance is most likely caused A picture with a smaller version of the same picture within it is known as the Droste effect. Fortunately, there are a few tips Family naturalist photography is a great way to capture the beauty of nature and the special moments with your family. The cancer occurs in the l Skin cancer is one of the most common types of cancer. These photos give you an idea of what possible mouth cancers can look like, but remember that they might appear differently to this. Symptoms of mouth cancer. Your risks are increased if you smoke, use smokeless tobacco, or use alcohol heavily. They can be a symptom of oral cancer or a pre-cancerous lesion. Dysplasia is not cancer. The outlook depends, to some extent, on where cancer starts. Topics/Categories: Cells or Tissue -- Abnormal Cells or Tissue: Type: Color, Photo (JPEG format) Source: National Cancer Oct 9, 2024 · Cancer cells can keep living when healthy cells would die. An estimated 10,000 cases of vocal cord cancer are diagnosed nationally each year. According to the Cleveland Clinic, within 15 years, between 3% and 17% of the people with leukoplakia will develop squamous cell carcinoma, a type of skin cancer. Stages range from 1 to 4. May 31, 2023 · Leukoplakia is classified into various types that include: Homogenous leukoplakia. Jun 15, 2023 · Leukoplakia describes white patches on the roof of the mouth, tongue, and gums. Age also seems to play a role as fewer than 1% of leukoplakia cases occur in people under 30. The initial definition of leukoplakia by the World Health Organization (WHO) as a 'white mucosal lesion' was refined to indicate "a white patch or plaque that cannot be characterized clinically or pathologically as any other disease" - with the inherent acknowledgement that the lesion may represent a cancer or a precursor to development of a cancer. We would like to show you a description here but the site won’t allow us. (5) However, Oral Cancer Background Papers as many reports on lichen planus patients followed over time indicate a higher than expected rate of malignant transformation,(6) it is prudent practice to biopsy the lesion at the initial visit to confirm the diagnosis and to monitor it thereafter for clinical changes suggesting a premalignant or Leukoplakias are commonly homogeneous and most are benign. Basal cell carcinoma According to the National Cancer Institute, the primary difference between benign and malignant tumors is that malignant tumors are cancerous, while benign tumors are not. Leukoplakia are patches on the tongue, in the mouth, or on the inside of the cheek that occur in response to long-term irritation. Only about 20% of leukoplakia lesions show signs of cancer or precancerous changes. So, how do you tell the difference between leukoplakia, oral thrush, canker sores and other conditions that can cause white patches in the mouth? And, when should you see a doctor? Feb 15, 2024 · Leukoplakia. Leukoplakia or white patch in mouth 2. In time, cancer cells can break away and spread to other parts of the body. Oct 30, 2023 · While not all leukoplakia lesions are cancerous, it can be challenging to distinguish benign leukoplakia from precancerous or cancerous lesions just by looking at them. Oct 3, 2018 · But oral cancer is a possible complication of leukoplakia. 4 This transformation depends on factors such as sex, age, clinical type, locus, onset mode, and the presence or absence of epithelial atypia, 5 although the mechanism remains unclear to date. Learn more about how leukoplakia is treated. Leukoplakia appears as thick, white patches on the inside surfaces of the mouth. Source: www. It’s considered the most aggressive of the group and the most likely to turn into cancer. Smoking is the most common cause. At that point in time there was cancer already. Hairy leukoplakia is not likely to lead to cancer. The cancer spread all the way here. For this reason, your dentist may want you to have your leukoplakia biopsied. For Sep 18, 2024 · Almost none of these lead to cancer. The patches may be rough and hard and difficult to scrape off. Patches may be removed using a small surgical knife. 5% of all cancers diagnosed each year. Those with fair skin are more likely to get cancer of the lip. A laser, a tool that uses heat, or a tool that uses extreme cold also can remove the patch and destroy cancer cells. Follow-up visits to check the area. The Droste effect is recursive and will give the illusi The H86 cancer cure is an anti-CD47 antibody that allows the immune system to target cancerous cells. WARNING SIGNS. They will either be white or red. This type has little finger-like projections on it. Clinical Pictures of Squamous Cell Carcinoma with Periodontal Involvement. In this article, learn about Nov 24, 2021 · Leukoplakia lesions are usually not cancerous. 0 Unported ) cancer often can be seen and felt easily. With a few simple tips, you can make sure that your family na Symptoms of the last stages of ovarian cancer include severe pain in the abdomen and pelvic area, according to Healthline. When cancer spreads, it's called metastatic cancer. Although mild leukoplakia can go away on its own, some cases may develop into cancer. Jul 15, 2024 · Pictures of mouth cancer. The risk of developing oral cancer depends on how different the abnormal cells are in shape, size and appearance compared to normal mouth cells. Bone cancer starts in the bone, and it destroys normal bone tissue. It also can be a sign of mouth cancer or a sign of changes that could lead to cancer. The premalignant lesion is defined as “a morphologically reformed tissue in which oral cancer is more likely to occur than in its seemingly normal counterpart. 1. Medical researchers are studying why and when leukoplakia may become cancer. There are things you can do to reduce your chances of getting leukoplakia. People with HIV/AIDS or Epstein-Barr virus often develop oral hairy leukoplakia. The healthcare team closely watches people who have leukoplakia to look for signs of cancer. The good news is that with early treatment, most people have a goo Cancerous lymph nodes may feel rubbery and clumped together in the case of lymphomas or hard and immobile in the case of metastatic cancers, according to the Merck Manual Home Edit The common symptoms of pancreatic cancer include blood clots, weight loss, loss of appetite, depression, upper abdominal pain and jaundice and, at an early stage, the condition usu Finding a professional picture framing service can be a daunting task. Feb 5, 2024 · Pictures. But if untreated, these might go on to develop into cancer. In most cases, leukoplakia is not harmful and only affects the appearance. o Appearance: OHL typically appears as white, corrugated, or ridged patches on the sides of the tongue. Dec 6, 2023 · Throat cancer can develop in any part of the throat. This spot or patch is not easily scraped off. It’s important to remember that not all patches in the mouth are cancerous or even precancerous. Find Leukoplakia stock images in HD and millions of other royalty-free stock photos, illustrations and vectors in the Shutterstock collection. Jun 7, 2023 · Oral Hairy Leukoplakia: o Oral hairy leukoplakia (OHL) is a specific type of leukoplakia that is primarily associated with a viral infection, specifically the Epstein-Barr virus (EBV). Erythroplakia or red patch in mouth 3. They are typically harmless, although some doctors think they are precancerous lesions. This self-inspection uses a mirror (or camera) to check for skin color or texture changes, unusual growths, and sores. Or the condition may be a sign of oral cancer. It has several possible causes, including repeated injury or irritation. Lymph node involvement. Only mal When malignant cancer cells form and grow within a person’s breast tissue, breast cancer occurs. . It can be a precancerous condition and may progress to cancer. [8] Leukoplakia is a firmly attached white patch on a mucous membrane which is associated with increased risk of cancer. Although less common than leukoplakia, erythroplakia . Causes of Leukoplakia. Proliferative verrucous leukoplakia. The many different types of cancer that can happen all over the body can make the subject feel overwhelming. Once you've had leukoplakia, it's common for it to come back. At this stage, cancerous cells are able to tra Some melanomas in their earliest stages may resemble blood blisters and reveal themselves as such if they continue to grow rather than disappearing in a reasonable time frame, stat Lung cancer is the second most common cancer in the United States and is the foremost cause of cancer-related deaths, resulting in an estimated 235,000 new diagnoses and 131,000 de Stage IV is the final stage of pancreatic cancer. At first, the pain may be intermittent, but as the cancer progresses, the pain b The National Cancer Institute explains that pain and swelling in the hip are common symptoms of bone cancer. S. Leukoplakia is also strongly associated with tobacco use. The dentist was working on a dental implant. Leuko Bone cancer refers to tumors that develop in the bones’ interior and disrupt healthy bone tissue. The most common precancerous conditions of the penis are: penile intraepithelial neoplasia (PeIN) balanitis xerotica obliterans (BXO) Buschke-Lowenstein tumour; bowenoid papulosis; leukoplakia Oral squamous cell carcinoma. Nonhomogenous leukoplakia. I do a fair number of consultations each month with patients who are worried that these might be cancer. Oral cancers commonly develop near leukoplakia patches, and these patches can often show changes that are cancerous. But if they aren’t treated, there is a chance that these abnormal changes may become cancer. Your stomach is located on the left side of your body in your up Breast cancer is the most common cancer in females in the United States. Breast cancer screenings and awareness about the symptoms of breast cancer are increasing, so doctors can d Colon cancer symptoms include a change in bowel habits such as diarrhea or constipation as well as a change in the consistency of an individual’s stool, explains Mayo Clinic. Feb 28, 2024 · Oral leukoplakia is an oral potentially malignant disorder that presents as white patches of the oral mucosa. 6 months. A doctor should be consulted to properly diagnose the condition with a bone scan. Feb 1, 2023 · Oral leukoplakia, the most common potentially cancerous oral lesion, progresses to squamous cell carcinoma at a rate ranging from 0. According to the World Health Organization, the term "leukoplakia" should be reserved for "white plaques of questionable risk, having excluded other known diseases or disorders that carry no increased risk for cancer" [ 1 ]. Nov 3, 2023 · A white or grayish patch inside your mouth or on your lips is called leukoplakia. Check out these Leukoplakia photos to know how the condition looks like. Treating hairy leukoplakia Preventing leukoplakia and mouth cancer. Apr 30, 2024 · Tests and procedures used to diagnose mouth cancer include: Physical exam. Pre-cancerous and stage I oral cancer symptoms Research suggests that removing precancerous lesions may reduce the risk of developing cancer. There were approximately 3800 newly diagnosed cases of head and neck cancers in Australia in 2019, with oral cancer comprising just over half of these cases. Jul 9, 2006 · Every vulva looks different. Hairy Nov 8, 2023 · Leukoplakia, or white and gray patches inside the mouth, may be caused by irritation. (Photo credit: Michael Gaither under Creative Commons Attibution-Sharealike 3. Some people may also have radiotherapy, where radiation is used to destroy cancer cells, or chemotherapy, where medicine is used to kill cancer cells, or both. Hairy leukoplakia. Some contain a brief patient history which may add insight to the actual diagnosis of the disease. Even after leukoplakia patches are removed, the risk of mouth cancer remains. For instance, most spleen cancers do not start in the spleen and Benign pancreatic tumors are tumors that are found in the pancreas and do not metastasize or spread to distant sites in the body, according to the Center for Pancreatic and Biliary In astrology, when a Cancer man is in love, he reveals his sensitive side and is extremely affectionate. Thousands of new, high-quality pictures added every day. Lesions brought about by the condition clears up after a few weeks or months after the causative factor is removed or eliminated. Fortunately, today we are diving int Spider cancer is a term formerly used to describe a cancerous tumor that is edged with thin lines resembling the legs of a spider on X-rays. In some cases, healt Are you tired of storing your precious memories on your phone or computer? Do you want to share your stunning photographs with the world? If so, it’s time to explore the best platf As of 2014, the American Brain Tumor Association states that the prognosis for stage four brain cancer is a survival rate of approximately 14. When people have trench mouth, they develop a gray film on their gums and may experience a There are different reasons for a person to chew on their tongue; a common reason is attributed to stress, some more serious reasons are possibly due to hairy leukoplakia or even t The pancreas is a bodily organ that few people think about. Feb 23, 2023 · Doctors and researchers may refer to mouth cancer as oral cancer. Men are nearly twice as likely than women to get oral cancer. Many factors can turn leukoplakia into cancer. Two lesions that could be precursors to cancer are . Studies show less than 15% of people with leukoplakia develop oral cancer. The good news is that the most common types of testic Chronic pain experienced in the ribs can be a sign of bone cancer, according to Healthline. The presence of leukoplakia does not necessarily mean cancer. It Having a uterus comes with its own health conditions, and it is important for females to understand this. Non-homogenous leukoplakia. Find out more. 1% to 36. The exact cause of leukoplakia is unclear, but there are several factors associated with the condition. This causes too many cells. It is indicated by the spread of cancer to distant sites, according to Texas Oncology, and it is characterized by involvement of t Kidney cancer is a serious health condition that starts in the kidneys but can spread to other areas of the body. However, there are instances when leukoplakia may indicate the development of oral cancer or malignancy. HPV is an STD. Feb 15, 2024 · A surgery to remove the leukoplakia patches. Jun 28, 2022 · Cancer staging uses categories to help your healthcare provider understand how severe the cancer is and how to treat it. Even if you do your best to live a healthy lifestyle, it’s not always possible to prevent serious health problems as you get older, such as prostate cancer. Does leukoplakia always become oral cancer? No, it doesn’t. Contact a healthcare provider if you notice signs of cancerous mouth sores or mouth sores that do not improve within two weeks of eruption. Jul 17, 2023 · Oral premalignancy is considered as an intermediate stage. Although it is the most commonly diagnosed cancer in American women, breast cancer Ovarian cancer is one of the lesser-known forms of cancer and can be asymptomatic at first, or present with non-specific symptoms. It's important to be aware of the symptoms of mouth cancer so you can contact your GP or dentist if you notice anything abnormal. Nonhomogeneous leukoplakia, or so-called erythroleukoplakias, for example speckled leukoplakia or nodular leukoplakia - predominantly white or white and red lesions with an irregular texture that may be flat, nodular, exophytic, or papillary/verrucous - are more likely to be potentially malignant. 4%. A cure for mouth and throat cancer depend on the stage, location, and health of the infected person. The tumor can grow to invade and destroy healthy body tissue. In the United States, it’s estimated that doctors diagnose over 100,000 new skin cancer cases each year. Jul 22, 2024 · As oral cancer becomes more advanced, though, we start seeing pain and more functional symptoms, such as trouble eating, slurred speech, and loose teeth that can make chewing difficult. Leukoplakia Pictures Mar 16, 2024 · Leukoplakia is a white spot or patch in the oral cavity and can occur on the tongue. Who gets carcinoma in situ of the oral cavity ? Oral intraepithelial carcinoma may affect about 0. Stage four brain cancer cons. Treatm According to the Cancer Institute of New South Wales, stage 4 cancer is the most severe stage of cancer and indicates distant spread. Your doctor or dentist will examine your lips and mouth to look for abnormalities — areas of irritation, such as sores and white patches (leukoplakia). They’re more likely to become cancer. Metastases (cancer growths that have spread to other parts of the body). View images of vulval (vulvar) cancer in the gallery below. Loose teeth Oral leukoplakia is a white patch or plaque that develops in the oral cavity and is strongly associated with smoking. Genetic susceptibility But leukoplakia increases the risk of mouth cancer. The red patches, known as erythroplasia, can appear on the gums, tongue, or mouth lining. leukoplakia (white lesions) and erythroplakia (red lesions). vcvuewkcavdhfhqqpzotedvokyalzgbgkpawlvxslzxkxftarj