Rajeshwari G.Annigeri

  Angina bullosa haemorrhagica is a rare blood filled vesiculobullous lesion of the oropharynx with the most common site being reported is the soft palate. Many etiological factors have been reported including trauma, hypertension, hyperglycemia and even iatrogenic causes. Management is based on the dimension of the lesion. Usually smaller lesions are self limiting, but larger lesions require surgical intervention. We report a case of rapidly expanding blood-filled bulla of the soft palate of size 2x4.5 mm with successful management by steroids. It was associated with tightness as prodromal symptom in the area followed by the bullae. The etiology, clinical features, differential diagnosis and management of the lesion is discussed.

  Oral submucous fibrosis is a potentially malignant disorder with increased potential for malignant transformation. Major etiological factor for causation of OSMF is betel quid and gutka chewing habit. Patient with OSMF usually complains of burning sensation in the oral cavity and progressive difficulty in opening the mouth. Several management strategies have been tried in the treatment of OSMF and steroids are usually the mainstay of treatment for OSMF.  These case reports portray the etiology, clinical features and management of these cases.