A 55-year-old gentleman presents to you in general practice complaining of an
extremely sore mouth and the recent appearance of white patches on his cheeks.
He thinks he may be allergic to his dentures. The patient was fitted with a new set
of complete dentures 3 weeks ago and since then his mouth has become
progressively more sore. In recent days he has noticed the appearance of white
patches on his cheeks. He had not noticed these before. One year ago the patient
was diagnosed as a noninsulin-dependent diabetic and he has a history of peptic
ulceration. Current medications are “metformin” and “ranitidine”. He is otherwise
fit and well.
***The patient’s right and left buccal mucosa on presentation.
Q1. According to history and clinical presentation, the lesion might be:
a. Candidal Leukoplakia
b. Erosive lichen planus
c. Lupus erythematosus
d. Lichenoid drug reaction
Q.2. In this case which of the following will be useful for diagnosis?
a. Incisional biopsy
b. Microbiological test
c. Serological test
d. None of the above
e. All of the above
d,a