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Picture Based MCQ Case 1

A 46-year-old male patient complains of burning mouth pain when eating spicy foods and inner cheek pain when eating for a year; he chews areca nut and tobacco 3 times daily for 20 years. Examination reveals a diffuse white patch with cracked appearance and red areas on the bilateral inner cheeks, corners of the mouth, and behind the corners that is tender, cannot be scraped off, and feels leathery. The most probable provisional diagnosis is oral submucous fibrosis.

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291 views1 page

Picture Based MCQ Case 1

A 46-year-old male patient complains of burning mouth pain when eating spicy foods and inner cheek pain when eating for a year; he chews areca nut and tobacco 3 times daily for 20 years. Examination reveals a diffuse white patch with cracked appearance and red areas on the bilateral inner cheeks, corners of the mouth, and behind the corners that is tender, cannot be scraped off, and feels leathery. The most probable provisional diagnosis is oral submucous fibrosis.

Uploaded by

drpnnreddy
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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PICTURE BASED MCQ

Case 1:
A 46 year old male patient, complaints of burning sensation in the mouth while consuming
spicy foods (VAS-6) & pain in the inner side of the cheeks while eating (VAS- 4) since a
year. History revealed that he chews arecanut and tobacco thrice daily since 20 years, which
he places in buccal vestibule bilaterally for 5 minutes and then spits out. He also smokes one
packet of beedi/day since 20 yrs.

Intra-oral inspection revealed a diffuse white patch having cracked mud appearance,
interspersed with erythematous area evident in relation to bilateral buccal mucosa,
commissure and retrocomissural region, which on palpation was tender, non scrappable and
leathery in consistency.

Case & Picture courtesy: Dr.Sneha.S

What could be the most probable provisional diagnosis?

A) Erosive lichen planus

B) Speckled leukoplakia

C) Hyperplastic candidiasis

D) Oral submucous fibrosis

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