Question:
A patient presents with oral lesions and burning sensation on eating spicy food. Which of the following drugs is responsible here?
A patient presents with oral lesions and burning sensation on eating spicy food. Which of the following drugs is responsible here?
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Drug-induced oral lichenoid lesions can cause burning sensation with spicy food; lithium is one possible cause.
Updated On: May 14, 2026
- Lithium
- Beta blockers
- Fluconazole
- Ciprofloxacin
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The Correct Option is A
Solution and Explanation
Concept:
Lithium can cause cutaneous and mucosal adverse effects, including oral lesions and lichenoid drug reactions. Such lesions can cause burning sensation, especially with spicy food.
Step 1: Identify the symptom pattern.
Oral lesions with burning on spicy food suggest an inflammatory mucosal lesion.
Step 2: Relate with drug-induced lesion.
Lithium is known to cause dermatological and mucosal adverse effects, including lichenoid eruptions.
Step 3: Select the responsible drug.
Among the options, the drug most likely responsible is: \[ \text{Lithium} \] Therefore, the correct answer is Lithium.
Step 1: Identify the symptom pattern.
Oral lesions with burning on spicy food suggest an inflammatory mucosal lesion.
Step 2: Relate with drug-induced lesion.
Lithium is known to cause dermatological and mucosal adverse effects, including lichenoid eruptions.
Step 3: Select the responsible drug.
Among the options, the drug most likely responsible is: \[ \text{Lithium} \] Therefore, the correct answer is Lithium.
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