Iron Deficiency Anaemia Oral Signs — MFDS Part 1 MCQ
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Correct answer: C — Atrophic glossitis and angular cheilitis
Atrophic glossitis and angular cheilitis are recognised oral manifestations of iron deficiency anaemia. The tongue may be sore, smooth and depapillated, while fissuring or ulceration occurs at the labial commissures; oral mucosal pallor may also be present. Gingival enlargement with bleeding is more suggestive of a haematological malignancy or a drug-related gingival reaction. Bilateral parotid enlargement with xerostomia suggests salivary gland disease such as Sjögren syndrome. Generalised hypercementosis with cotton-wool radiopacities is associated with Paget disease, while macroglossia with lateral indentations may occur in amyloidosis. Therefore, A is the single best answer.
Reference: NHS. Iron deficiency anaemia, symptoms section. Last reviewed 26 January 2024. https://www.nhs.uk/conditions/iron-deficiency-anaemia/