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JAMA Dermatology Clinicopathological Challenge
August 2016

A Girl With Marfanoid Habitus and Distinctive Orolabial Lesions

Author Affiliations
  • 1Department of Dermatology, Hospital Universitari Son Espases, Palma de Mallorca, Spain
  • 2Department of Pediatrics, Hospital Universitari Son Espases, Palma de Mallorca, Spain
JAMA Dermatol. 2016;152(8):939-940. doi:10.1001/jamadermatol.2016.0750

An adolescent girl with no relevant family history was referred to the dermatology pediatric unit for evaluation of multiple asymptomatic lesions on her tongue that had gradually developed since the first years of life. The patient had a marfanoid habitus, disproportion of limbs, and an enlarged face. Both lips were enlarged and felt nodular (Figure, A). Multiple pink-whitish and translucent nodules were observed on the lateral and anterior surface of the tongue (Figure, B). The rest of her physical examination did not reveal other cutaneous abnormalities, except for mild acne. Biopsy results from tongue tissue are shown in the Figure, C and D.