Burning Mouth Syndrome — NDEB AFK MCQ
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Correct answer: E — Postmenopausal women
BMS primarily affects postmenopausal women (female:male ratio approximately 7:1). It presents as bilateral burning sensation of the tongue, lips, and/or palate with no visible mucosal abnormalities. The aetiology is likely neuropathic. Before diagnosing primary BMS, secondary causes (nutritional deficiencies, candidiasis, xerostomia, allergy, diabetes, thyroid disease) must be excluded. Cognitive behavioural therapy, low-dose clonazepam, and alpha-lipoic acid are treatment options.
Reference: Neville – Oral and Maxillofacial Pathology, 4th ed., 2016