Question
All of the following may cause tonsillar ulceration except:
| A. |
Diphtheria.
|
| B. |
Behcet’s syndrome.
|
| C. |
Vincent’s angina.
|
| D. |
Papilloma.
|
Show Answer
|
Correct Answer � D
Explanation
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|
Differential diagnosis of ulceration of the tonsil
- A working diagnosis can usually be determined from the history & clinical examination.
- Investigations include a full blood count, chest radiograph, serological tests & biopsy.
- Possible causes include:
1. Infection.
• Acute streptococcal tonsillitis.
• Diphtheria.
• Infectious mononucleosis.
• Vincent’s angina.
2. Neoplasm.
• Squamous cell carcinoma.
• Lymphoma.
• Salivary gland tumours (adenoid cystic carcinoma).
3. Blood diseases.
• Agranulocytosis.
• Leukaemia.
4. Other causes.
• Aphthous ulceration.
• Behcet’s syndrome.
• Acquired immunodeficiency syndrome (AIDS).
