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A Case for Diagnosis. Presented by Dr. L. G. Beinhauer.
J. G., a man, aged 22, complained of a sore tongue which began eight years before presentation as an ulceration on the tip. Examination revealed the tongue apparently too large for the flour of the mouth. The member was thick, red, inflamed and painful on manipulation. The median raphé presented a deep sulcus extending to the most posterior portion. Posteriorly there was marked hypertrophy of the papillae which appeared red and glazed through a grayish coating covering the posterior portion of the tongue. Anteriorly the coating was not prominent; instead there was a marked papillary hypertrophy, discrete in character, tender to the touch, embedded on an acutely inflammatory base. About the tip of the tongue was an erosive condition studded with a discrete papillary hypertrophy. The edge and under surface of the tongue was raw in appearance and tender
Hollander. PITTSBURGH DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1926;14(1):94–96. doi:10.1001/archderm.1926.02370190109016
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