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A Case for Diagnosis (Granulomatous Lesion of the Tongue in an Infant). Presented by Dr. Howard Fox.
R. M., a boy aged 8½ months, was first seen by the presenter on Aug. 28, 1940. He was referred by Dr. H. T. Vogel, a pediatrician, who stated that he first noticed a stomatitis about August 1. He found white patches on the tongue, lips and palate, a scraping of which showed Vincent's organisms. Later the lesions on the tip of the tongue "sloughed out," leaving a V-shaped loss of substance. The patient had been treated locally with mild protein silver, merthiolate, gentian violet, sodium perborate and silver nitrate. He was also given one intramuscular injection of sulfarsphenamine. After this treatment Vincent's organisms disappeared but the stomatitis still remained. When I first saw him there was a nontender, firm, whitish granulomatous mass on the V-shaped area of the tip of the tongue.
Fraser JF, Cipollaro AJ. MANHATTAN DERMATOLOGIC SOCIETY. Arch Derm Syphilol. 1941;43(5):858–869. doi:10.1001/archderm.1941.01490230098019
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