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December 2007

A Firm Papule on the Lateral Tongue—Quiz Case

Author Affiliations
 

MICHAEL E.MINGMD, MSCECARRIE ANN R.CUSACKMDSENAIT W.DYSONMDJACQUELINE M.JUNKINS-HOPKINSMDVINCENTLIUMDKARLA S.ROSENMANMD

Arch Dermatol. 2007;143(12):1583-1588. doi:10.1001/archderm.143.12.1583-c

A 39-year-old male presented with a firm, tender papule on the dorsal surface of his tongue of 6 months' duration. Prior to evaluation, the papule had slowly increased in size. He denied any history of trauma to the area. His medical history was remarkable for type 1 diabetes mellitus. Physical examination revealed a 5-mm, well-circumscribed, firm, mucosal-colored papule on the left lateral dorsal surface of the tongue that was tender to palpation (Figure 1). The lesion was biopsied for histologic examination (Figure 2 and Figure 3).

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