Pharmacology · patient case question
What is the treatment?
Patient case: Two-year history of tongue discomfort with spicy foods
Scenario: A female patient has had discomfort in her tongue for TWO YEARS. Spicy foods and some cold drinks bother her.
Show answer and explanation
Correct answer: A. Topical triamcinolone
- A. Correct per the source key. Most cases need only reassurance and avoidance of trigger foods. When symptomatic, a topical corticosteroid such as TRIAMCINOLONE ACETONIDE in Orabase reduces the inflammation and burning. Topical anaesthetics and antihistamine rinses are also used.
- B. Surgical excision is never indicated for a benign migrating condition — the lesion will simply reappear elsewhere.
- C. There is no viral aetiology.
- D. Antifungals treat candidiasis; erythema migrans is not a fungal infection, although candidal superinfection can occur and confuse the picture.