Pathology · single question

A patient wakes with a burning, painful tongue but exam shows no visible lesions. The most likely diagnosis is:

  1. Oral candidiasis
  2. Traumatic ulcer
  3. Burning mouth syndrome (BMS)
  4. Geographic tongue
Show answer and explanation

Correct answer: C. Burning mouth syndrome (BMS)

  • A. Candidiasis usually shows wipeable plaques or erythema — visible signs.
  • B. A traumatic ulcer would present a visible lesion.
  • C. Correct. BMS is burning pain with a clinically normal-appearing mucosa (a diagnosis of exclusion).
  • D. Geographic tongue shows characteristic migratory erythematous patches with white borders — visible.

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