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January 2001

A 64-Year-Old Man With Glossitis

Author Affiliations


Arch Dermatol. 2001;137(1):85-90. doi:

A 64-year-old man was hospitalized for posttraumatic pain and edemain his left lower extremity, complicated by an acetominophen overdose. Threedays later, painful white papules and plaques developed on his tongue, softpalate, and buccal mucosa. His lips were spared. A viral culture, Tzanck smear,and potassium hydroxide preparation were obtained. The potassium hydroxidepreparation was interpreted as positive for Candida,and the Tzanck smear was interpreted as negative. The patient was treatedwith oral fluconazole and nystatin suspension swish-and-spit therapy. Thewhite papules resolved with this regimen; however, the patient had increasedglossodynia. The dermatology service was then consulted.