A 78-year-old man on steroids for vasculitis presents with a painful tongue ulcer. Explore the Differential Diagnosis for oral ulcers in the immunocompromised.
A 78-year-old man with end-stage renal disease, diabetes mellitus, and microscopic polyangiitis, for which he was taking glucocorticoids, presented to the rheumatology clinic with fever, painful glossitis, and taste abnormalities that had persisted for 1 month. Examination of the tongue showed a large, punched-out, painful ulcer. What is the diagnosis?
What is the most likely diagnosis?
Cytomegalovirus infection, Glucocorticoids, Immunosuppression, Microscopic polyangiitis, Oral ulcer
