Heck Disease, also known as Focal Epithelial Hyperplasia (FEH), is a viral infection characterized by the formation of multiple small, raised, and painless growths on the oral mucosa. This condition primarily affects children and young adults, and it is considered to be a benign and self-limiting disease.
The exact cause of Heck Disease is attributed to the Human Papillomavirus (HPV), particularly types 13 and 32. Transmission of the virus occurs through direct contact with saliva, such as kissing or sharing utensils, and it is more prevalent in populations with poor socioeconomic conditions or crowded living spaces.
The characteristic clinical features of Heck Disease include the appearance of small, soft, and smooth papules or nodules in various sizes and colors, typically found on the inner lining of the lips, cheeks, tongue, or, less commonly, the palate. These lesions usually do not cause pain or discomfort and tend to resolve spontaneously within a few months without scarring or lasting effects.
Although treatment is not always necessary, in some cases, removal of the growths using surgical or laser excision may be performed for cosmetic purposes or to alleviate any potential functional issues. Additionally, antiviral medications have been utilized in some instances to help control and prevent the recurrence of the lesions. Regular follow-up and monitoring are recommended, as recurrence of the growths is possible, albeit rare.
Overall, Heck Disease is a relatively benign condition caused by the Human Papillomavirus, characterized by the presence of multiple painless growths in the oral cavity that tend to resolve without treatment.
