Leukoplakia

These are rare white, verrucous plaques that can arise on mucosal surfaces. Oral lesions have a strong association with chronic tobacco use and carry a clear risk of transformation into invasive SCC. Genital lesions are less well understood. They occur primarily on the glans or prepuce. Clinically they can resemble areas of LS. They occur more commonly in patients with diabetes, probably related to recurrent and chronic infection.52,53 Evidence of fissuring, ulceration, or erosion increases the risk of malignant transformation in these lesions. Although the precise incidence of malignant transformation is unknown, 10-20% of penile leukoplakia can show dysplastic changes microscopically.52,54

Fig. 5.8 PKMB. Courtesy of Bhushan Kumar, Chandigarh, India (Reproduced by permission of Prof CB Bunker and Elsevier Saunders47)

Fig. 5.8 PKMB. Courtesy of Bhushan Kumar, Chandigarh, India (Reproduced by permission of Prof CB Bunker and Elsevier Saunders47)

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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