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Which condition is presented by the presence of strawberry tongue?
Question

Which condition is presented by the presence of strawberry tongue?

A.

Celiac disease

B.

Maple syrup urine disease

C.

Kawasaki disease

D.

Glossitis

Correct option is C

Strawberry tongue is a clinical finding characterized by a red, bumpy, and inflamed tongue that resembles the surface of a strawberry. It is most commonly associated with Kawasaki disease, a pediatric vasculitis affecting medium-sized arteries. Other symptoms include prolonged fever, rash, conjunctivitis, and swollen lymph nodes. Early diagnosis and treatment are crucial to prevent cardiac complications.
Explanation of options: (a) Celiac disease – This is a gluten-sensitive enteropathy affecting the small intestine. It does not present with strawberry tongue. (b) Maple syrup urine disease – This is a metabolic disorder related to branched-chain amino acids. The key symptom is sweet-smelling urine, not tongue changes. (c) Kawasaki disease – This is the correct answer. Strawberry tongue is a classic sign, along with other mucocutaneous symptoms, seen in affected children. (d) Glossitis – This refers to inflammation of the tongue, which may cause redness or soreness, but not the specific “strawberry” appearance.

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