came accross a case in a group...found interesting so sharing here for discussions and opinions. patient visited with Cheif complain of enlargement which he neglected since 20 years. no drug, systemic history. no other abnormality. routine blood investigations are normal. diagnosis and management. ??

papular lesion and foreign body sensation during chewing . what is DX?

22 yr male patient reported to my clinic with chief complaint of rashes in whole mouth since 2 months.personal h/o gutkha chewing 8-10 gutkha /day. he is refered patient by physician . on investigation HBsAg positive. i treated this patient as oral candidiasis . but i dont know region behind HBsAg positive. please guide me. prognosis of this patient is good.

O/E.....history of tobacco chewer since 20 years n smoking.....Dx.......

48/m rapidly growing with severe burning tongue since last 20 days....Medication given by Ent and dentist already alternatively Tab.MVBC Tab.Moxiclav 625mg Tab metronidazole 400mg Tab.Oflox 200mg Inj.eldervit since last 15 days Benzocaine for TA Steroid as prednisone and Deflazacrt 6mg kenacort for TA Tab .Limcee Ix CBC ALL FINDING WITHIN NORMAL RANGE WHAT COULD BE IT? NW PT DOESNT WANT ANY EXPERIENCE ON IT BCOZ HE SUFFERED LOT AND TILL NO RESULT PLZ WELCOME UR SUGGESTIONS be fast plz