Pathology · single question

Migratory erythematous patches with white serpiginous borders on the dorsal tongue that change location over time. Diagnosis?

  1. Geographic tongue (benign migratory glossitis)
  2. Squamous cell carcinoma
  3. Pseudomembranous candidiasis
  4. Lichen planus
Show answer and explanation

Correct answer: A. Geographic tongue (benign migratory glossitis)

  • A. Correct. The migrating red patches with raised white borders that shift position are characteristic of benign migratory glossitis.
  • B. Incorrect. SCC is a fixed, often ulcerated/indurated lesion, not a migrating pattern.
  • C. Incorrect. Candidiasis presents as wipeable white plaques, not migrating red patches.
  • D. Incorrect. Lichen planus shows fixed reticular white striae, not lesions that move day to day.

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