White Oral Plaque in Cigarette Smoker – Let’s Diagnose

A 50-year-old woman with a long history of cigarette smoking asked her dentist about a white oral plaque that she noticed on the underside of her tongue. She thought it had been there for several months. It was not painful and didn’t seem to cause any other symptoms, but she was concerned it might be a problem. She was otherwise in good health.

Is it oral lichen planus, leukoplakia, oral candidiasis, or oral frictional keratosis?

Can you diagnose the patient? Use the Differential Builder in VisualDx to help you.

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