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Many other treatments have been tried unsuccessfully including topical antifungal agents, oral antifungal therapies, retinoids such as acitretin and isotretinoin, vitamins and other antibiotics such as metronidazole and trimethoprim + sulphamethoxazole. Proposed mechanism for development of white sponge naevus Have you ever taken a bite of a beautiful white cake only to be disappointed by it’s rubbery texture and bland taste? With the proper ingredients and mixing technique you can make the best White Cake at home, from scratch. Linea alba can be present with any patient, especially those undergoing stressful situations. Amadori et al. identified linea alba to be present in 5.3% of a cohort of teenagers aged 13to 18, while Gonçalves Vieira-Andrade et al.found it to be present in 33.9% of a cohort of adults, with a female predilection. [11] [12]Erythema migrans affect 1% to 2% of individuals, with more frequent cases in younger individuals. [3]This condition has a slightly higher predilection for females over males. [10] Leukoedema itself does not present with any complications; however, since it can be a manifestation of local irritation, patients should be counseled on adverse habits or smoking cessation. Alternate adding the dry and wet ingredients. With the mixer on low speed, add half of the flour mixture and beat until combined. Add milk mixture and beat until combined. Add the other half of the flour mixture and beat just until combined ( Note: Be careful not to over mix the batter. The less you mix, the lighter the cake will be). Preheat and prepare your cake pans. Preheat your oven to 350°F/180°C and butter two 9-inch cake pans (8-inch would work too) that are at least 2-inch high. Line the bottoms with parchment paper.

Linea alba presents histologically as hyperkeratotic tissue and a potentially reduced granular layer [17]. No evidence of dysplasia is noted.Use Room temperature ingredients for the lightest batter. Room temperature butter is between 65°F and 70°F. It should be slightly pliable but not soft and melting. WSN may superficially appear clinically similar to several other oral white lesions that have varied clinical behaviors and treatment protocols. It is important that the condition is distinguished from the other entities to avoid unnecessary treatment. The diagnosis of WSN is usually based on its distinctive clinical appearance and history. However, exfoliative cytologic preparations or biopsy can aid in the diagnosis and may be performed to rule out other lesions. A positive family history and histopathological or cytopathological features can distinguish WSN from the other lesions.

Pseudomembranous candidiasisis treatable using the clinician’s antifungal medication of choice, likely fluconazole or clotrimazole. [27]It is paramount to emphasize to patients the need for regular oral hygiene, especially if the patient has a removable dental prosthesis, such as a denture, to prevent or limit recurrence. [2] I use egg whites in this recipe to lighten the texture and help the cake rise. But save those egg yolks and make creme brulee or Boston cream pie (both are amazing). For super flat, even cake layers, invest in some cake strips

Cups of Frosting Needed

Morsicatio buccarum, commonly known as “cheek biting,” can present on the buccal mucosa or the lateral surface of the tongue (morsicatio linguarum). This lesion is the result of repeated trauma from occlusion on the mucosa. [4] Many other treatments have been tried unsuccessfully including topical antifungal agents, oral antifungal therapies, retinoids such as acitretin and isotretinoin, vitamins and other antibiotics such as metronidazole and trimethoprim + sulphamethoxazole. References Erythema migrans has no specific treatment modalities recommended. [28]Since erythema migrans may be associated with underlying systemic disease, proper referral to the primary care provider to evaluate these conditions is indicated. Fold your egg whites gently into the rest of your white cake batter. I always recommend doing this part by hand. Make sure that you stir enough so that the egg whites are well-incorporated into the batter, but use a light hand so that you don’t deflate the egg whites, or you’ll end up with a dense cake.

The histopathological findings of WSN are characteristic but not necessarily pathognomonic. Similar findings may be seen in leukoedema and hereditary benign intraepithelial dyskeratosis. Prominent hyperparakeratosis and marked acanthosis with clearing of the cytoplasm of the cells in the spinous layer are common features. An eosinophilic perinuclear condensation of the cells in the superficial layers of the epithelium may be seen as observed in the present case. This feature is unique to WSN, and this eosinophilic material has been ultrastructurally identified as tangled masses of keratin tonofilaments. In many cases, an exfoliative cytologic preparation that is stained with the Papanicolaou method will show the eosinophilic perinuclear condensations more readily than histopathological sections will. A 13-year-old female child reported to the Outpatient Department of the Dental College, with a chief complaint of pain in her mandibular right posterior region. Intraoral examination revealed grossly carious tooth #46, which was tender on percussion and had periapical radiolucency, consistent with periapical inflammatory disease. Scattered distribution of small spots (pseudomembranous candidiasis) and patches of milky white elevations (chronic hyperplastic candidiasis) in the oral cavity; visible red trauma after removal; no family history So anyway, as I was saying. There are multiple ways to make a white cake recipe but I'm going to make it REALLY easy for you. Option one is the traditional mixing style of creaming your butter and sugar together until light and fluffy. Then add in your egg whites until combined. Then add in dry ingredients and liquids. This is the route I go. This is a classic cake flavor and a personal favorite of mine, so when I say up in the intro that I’m excited to share this recipe with you, I really, really mean it. This cake is delicious, and honestly so easy to make… even if you’ve never beaten egg whites before I’m going to walk you through that below so you too can enjoy a perfect, from-scratch white cake.

Sift the dry ingredients into a mixing bowl. Add half the sour cream and combine. Then add the softened butter. Vanilla extract – Use real vanilla extract for the best flavor. (Alternately, you can use almond extract) There is no treatment, but because this is a benign condition with no serious clinical complications, prognosis is excellent. [ citation needed] See also [ edit ] One of the important reasons for making this diagnosis is to avoid unnecessary treatment. In general, explanation and reassurance are all that is required. White sponge nevus can be present from birth but usually first appears during early childhood, with 50 percent of patients being diagnosed before age 20 6 and showed no gender preference 7. The size and location of white sponge nevus can change over time 5. In the oral mucosa, both sides of the mouth are usually affected. White sponge nevus are generally painless, but the folds of extra tissue can promote bacterial growth, which can lead to infection that may cause discomfort. The altered texture and appearance of the affected tissue, especially the oral mucosa, can be bothersome for some affected individuals. There have been no reports of oral cancer developing in a white sponge nevus. However, Downham and Plezia 8 reported the occurrence of an oral squamous-cell carcinoma within a white sponge nevus. This malignant transformation might be induced by chronic prednisone use, and no other similar cases were reported 8.