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Exam questionKROK 2Dentistry ยท 2018

A 27-year-old patient has been referred by a prosthodontist for endodontic treatment of the 45 tooth. Objectively: the 45 tooth crown is destroyed; the lateral surface of the tongue and the buccal mucosa have patches of grayish macerated epithelium slightly protruding above the mucosa surface at the points of direct contact with the 45 tooth. The uvula and palatal bars are stagnantred in colour; hard palate has papulae surrounded with red margin and covered in grayish epithelium. The submandibular, cervical, supraclavicular, and subclavicular lymph nodes are enlarged and painless. What is the provisional diagnosis?

Answer options

  1. Soft leukoplakia (leucoplakia mollis)
  2. Chronic recurrent aphthous stomatitis
  3. Secondary syphilis
  4. Lupus erythematosus, patch stage
  5. Lichen ruber planus
Correct answer

Secondary syphilis

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