#DiagnosticDilemma: What's your take on this case?
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A 78-year-old man with end-stage renal disease, diabetes mellitus, and microscopic polyangiitis, for which he was taking glucocorticoids, presented to the rheumatology clinic with fever, painful glossitis, and taste abnormalities that had persisted for 1 month. Examination of the tongue showed a large, punched-out, painful ulcer.

What is the diagnosis?

A) Syphilitic chancre
B) Herpes simplex virus infection
C) Behcet’s disease
D) Eosinophilic ulcer
E) Cytomegalovirus infection

Please post your answers in the comment section below. The correct answer will be shared soon.
P●●●●●●●●u S●●a and 20 others like this1 share
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Dr. K●●●●●h C●●●●●a G●●●l
Dr. K●●●●●h C●●●●●a G●●●l Dentistry
Herpes simplex bit as infaction
Jul 26, 2020Like
C●●●l P●●●●●●●●n
C●●●l P●●●●●●●●n General Medicine
CMV pertaining to the immunosuppression by glucocorticoids?
Jul 26, 2020Like1
Dr. N●●●●h A●●●●h
Dr. N●●●●h A●●●●h Internal Medicine
Snail track ulcers over tongue is classic finding in CMV infection...this is due to immunosuppressants
Jul 28, 2020Like