What is the most typical presentation of the oral lesions of tuberculosis?
a. Mucosal lesions with a cobblestone appearanceb. Nonhealing ulcer
c. Mucositis
d. Erythematous bullseye
The correct answer is B: The oral lesions of tuberculosis are thought to result
from the presence of organisms brought into contact with the oral mucosa by
sputum. A nonhealing ulcer, which is impossible to differentiate clinically
from carcinoma, is the most common presentation in the mouth. Ulcers are most
consistently present on the lateral borders of the tongue and may have a
purulent center. Lymphadenopathy also may be present. Diagnosis is made by histologic
examination and demonstration of organisms in the tissue.
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