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Crohn Disease Oral Manifestations — NDEB AFK MCQ

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HardOral MedicineCrohn Disease Oral ManifestationsNDEB AFK

The oral manifestation most commonly associated with Crohn disease is which of the following?

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Correct answer: E — Cobblestoning of the buccal mucosa and/or linear ulceration of the vestibule

Crohn disease can produce oral manifestations in up to 20-50% of patients, sometimes preceding GI symptoms. Characteristic findings include cobblestone mucosa (raised, nodular mucosal swelling, especially of the buccal mucosa), linear ulcers in the vestibular sulcus, lip swelling (granulomatous cheilitis), angular cheilitis, mucosal tags, and aphthous-like ulcers. Histologically, non-caseating granulomas are found. Geographic tongue is not specifically associated with Crohn disease.

Reference: Neville – Oral and Maxillofacial Pathology, 4th ed., 2016