What is hecks disease

Revision received:. Select Format Select format. Permissions Icon Permissions. Abstract Background. HPV 13 , indigenous health , multifocal epithelial hyperplasia , oral disease , viral.

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Preterm birth and foetal-neonatal death rates associated with the Affordable Care Act Medicaid expansion — In general, focal epithelial hyperplasia is asymptomatic. It may present because of the appearance, a feeling of roughness or accidental biting of a lesion. In some cases, particularly in children, a mucosal scraping to confirm the specific HPV types, rather than a more invasive biopsy, is all that is required to confirm the diagnosis.

The identification of the specific HPV type may be important in cases of suspected child sexual abuse as HPV 13 and 32 have only ever been detected in the oral mucosa.

This is a benign condition with no cases of oral cancer reported to have developed. It therefore usually does not require treatment unless lesions are of aesthetic concern or if accidental or deliberate biting of lesions occurs. Treatment options then may include excisional biopsy , CO2 laser or diathermy. Followup is recommended in all cases. The natural history of focal epithelial hyperplasia is currently unclear, although it does seem to persist for many years.

Some surveys claim there is no difference in the incidence between children or adults although the clinical appearance may be different, with adults having fewer and flatter lesions than children. Others have reported involvement only of children, and therefore a presumed resolution of the condition by adult life.

See smartphone apps to check your skin. Books about skin diseases Books about the skin Dermatology Made Easy book. DermNet NZ does not provide an online consultation service.

If you have any concerns with your skin or its treatment, see a dermatologist for advice. Focal epithelial hyperplasia — codes and concepts open. Heck disease, Focal epithelial hyperplasia of mouth, Hecks disease, Oral focal epithelial hyperplasia, Focal epithelial hyperplasia of tongue, Multifocal epithelial hyperplasia. Viral infection. Role of HPV in focal epithelial hyperplasia, HPV types 13 and 32, Clinical features of focal epithelial hyperplasia, Diagnosis of focal epithelial hyperplasia, Histology of focal epithelial hyperplasia, Treatment of focal epithelial hyperplasia, Prognosis of focal epithelial hyperplasia.

Extensive focal epithelial hyperplasia: Case report.