Question

A 32-year-old patient who is a chronic alcoholic presents with oral ulcers and a burning sensation. A picture of the oral cavity is given below. What is the most likely diagnosis?

• A. Leukoplakia
• B. Erythroplakia
• C. Submucosal fibrosis
• D. Malakoplakia

Answer 1

The Correct Option is A

The patient is a 32-year-old chronic alcoholic presenting with oral ulcers and a burning sensation. The description and image align with a common oral condition known as leukoplakia. This condition is characterized by white patches on the mucous membranes of the oral cavity.

To determine the correct diagnosis, consider the following details for each option:

• Leukoplakia: Presents as white patches that cannot be scraped off and is commonly associated with tobacco use or alcohol. It is a precancerous lesion.
• Erythroplakia: Appears as red patches in the oral cavity, more severe than leukoplakia, with a higher likelihood of dysplasia or carcinoma.
• Submucosal fibrosis: Chronic condition leading to restricted mouth opening, with whitish fibrotic bands in the oral mucosa, often related to areca nut chewing.
• Malakoplakia: Rare condition, primarily affecting the genitourinary tract, not typically presenting with ulcers in the oral cavity.

Given the presence of oral ulcers and a burning sensation, leukoplakia fits the description due to its common presentation in alcoholics and its appearance as white patches. Therefore, the most likely diagnosis is:

Leukoplakia