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January 1991

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1991;117(1):110-113. doi:10.1001/archotol.1991.01870130116030

PATHOLOGIC QUIZ CASE 1  Seth A. Reiner, MD; Jesus E. Medina, MD; Kyung-Whan Min, MD, Oklahoma City, OklaA 2-year-old girl presented for evaluation of a slowly enlarging tongue. The tongue was noted to be slightly enlarged at birth, but the parents thought it was normal. However, it progressively enlarged, and by the age of 18 months, the patient was unable to keep it within the oral cavity. Feedings had to be maintained by a large nipple and bottle placed in the oral commissure. Accidental biting or other trauma to the tongue would cause profuse but self-limited bleeding. The patient had no evidence of airway obstruction.Physical examination revealed an active 2-year-old girl whose tongue protruded 4 cm out of the mouth. The central portion of the tongue had a 2cm scab from recent trauma (Fig 1). The tongue was fully mobile, but it was too large to fit

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