Image Challenge!

Which one is correct ?

1. Bulemia Nervosa

2. Cocaine Abuse

3. Lichen Planus

4. Ludwig's Angina

5. Osteonecrosis

Answer : Bulemia Nervosa

The combination of a deep ulcer of the posterior palate with severe tooth erosion is most consistent with a diagnosis of bulemia nervosa. The patient reported binge eating and self-induced vomiting several times daily.

Reference : NEJM