Pathology · single question
A patient has a pebbly appearance of the palate. What is the diagnosis?
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Correct answer: A. Inflammatory papillary hyperplasia
A PEBBLY (nodular, cobblestone) APPEARANCE OF THE PALATE beneath an ill-fitting denture is classic for INFLAMMATORY PAPILLARY HYPERPLASIA (IPH) — caused by chronic denture irritation with Candida overgrowth. The palate shows multiple small papillary projections. NICOTINIC STOMATITIS shows white palatal mucosa with red dot centers (dilated salivary gland ducts) — different appearance. TORUS PALATINUS is a bony hard midline exostosis. A is correct.