Pathology · single question

Which vitamin is affected when gums are erythematous, tongue shows papillary atrophy?

  1. Vitamin E
  2. Vitamin B (complex)
  3. Vitamin C
  4. Vitamin D
Show answer and explanation

Correct answer: B. Vitamin B (complex)

ERYTHEMATOUS GUMS + PAPILLARY ATROPHY OF TONGUE (smooth, glossy tongue) suggests VITAMIN B COMPLEX DEFICIENCY. Specifically: B2 (riboflavin) causes magenta/glossy tongue; B3 (niacin) causes pellagra with glossitis; B12 causes atrophic glossitis; folate causes similar changes. Collectively, B vitamin deficiencies cause GLOSSITIS (tongue changes) and oral mucosal changes. Vitamin C causes bleeding gums but not typically papillary atrophy. B is correct.

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