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JAMA Pediatrics Clinical Challenge
June 2017

Recurrent Tongue Masses in a Young Boy

Author Affiliations
  • 1Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
  • 2Feinberg School of Medicine, Northwestern University, Chicago, Illinois
JAMA Pediatr. 2017;171(6):593-594. doi:10.1001/jamapediatrics.2017.0288

A 7-year-old healthy boy presented to the emergency department with recurrent painless tongue masses since birth. His mother reported that multiple masses would develop and resolve spontaneously over the course of days to weeks. The lesions were usually white and the size of a pinhead, and located on the anterior portion of the tongue. Occasionally they would grow in size and progress to red-filled vesicles that did not burst or bleed. The timing of the lesions was not associated with fever or other rashes. The patient’s history was otherwise unremarkable, he had no recent travel outside the United States, and his vaccinations were up to date.

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