Exploring burning mouth syndrome: Diagnosis and management of an unusual presentation: A case report

Burning Mouth Syndrome (BMS) is a chronic pain condition of the oral mucosa without visible lesions and may be linked to systemic disorders. A 45-year-old male with anemia, gastroesophageal reflux disease (GERD), and suspected Crohn’s disease presented with a persistent burning sensation, primarily on the tongue. Clinical findings included mucosal atrophy, gingival pigmentation, cobblestoning, and generalized chronic periodontitis. He was diagnosed with BMS Type 1, and systemic symptoms prompted further evaluation, raising suspicion for Crohn’s disease. A multidisciplinary approach was initiated. This case highlights the rare association between BMS and Crohn’s disease and emphasizes the role of oral signs in identifying systemic illness.