Large yellow plaque on the tongue

Presenter: Shaheen Oshtory, D.O., Charles Gropper, M.D., Cindy Hoffman, D.O.
Dermatology Program: Saint Barnabas Hospital
Program Director: Cindy Hoffman, D.O.
Submitted on: Jul 9, 2008

CHIEF COMPLAINT:  My tongue hurts

CLINICAL HISTORY:

Signs and symptoms:  A 75 y/o female was admitted to St. Barnabas Hospital for metastatic malignant ascites secondary to vaginal cancer. On admission, she also complained of pain on her tongue and of a large, yellow plaque that had been present for several months.

Previous Treatment:  She denied any previous treatment

Other information:  Her past medical history was significant for DM, HTN, chronic LBP, osteoporosis, bladder incontinence, and vaginal Cancer. Her current medications included, Alendronate, Nexium, Neurontin, Lisinopril, Reglan, Etoprolol, MS contin, Oxybutynin, and Zocor.

 

PHYSICAL EXAM:

Thick yellow plaques with prominent papillae on dorsal surface of tongue.

 

 

 

LABORATORY TESTS:

None

DERMATOHISTOPATHOLOGY:

None

DIFFERENTIAL DIAGNOSIS:

1.   Oral leukoplakia
2.   Mucosal Candidiasis
3.   Lichen planus
4.   Black Hairy Tongue


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