Pathology · single question

An elderly denture wearer has a diffuse erythematous lesion on the palate exactly conforming to the denture-bearing area. The most likely cause is:

  1. Candida (denture stomatitis)
  2. Contact allergy to acrylic
  3. Squamous cell carcinoma
  4. Nicotinic stomatitis
Show answer and explanation

Correct answer: A. Candida (denture stomatitis)

  • A. Correct. Denture stomatitis (chronic atrophic candidiasis) presents as erythema confined to the denture-bearing mucosa, often with poor denture hygiene.
  • B. True acrylic allergy is rare and would typically extend beyond the bearing area.
  • C. SCC is a focal ulcer/mass, not diffuse mucosal erythema under a denture.
  • D. Nicotinic stomatitis is a white palatal change with red-dotted minor salivary ducts in pipe/cigar smokers.

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