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: July 9, 2008
CHIEF COMPLAINT: My tongue hurts
CLINICAL HISTORY: 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. She denied any previous treatment. 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: N/A
DERMATOHISTOPATHOLOGY: N/A
DIFFERENTIAL DIAGNOSIS:
1. Oral leukoplakia
2. Mucosal Candidiasis
3. Lichen planus
4. Black Hairy Tongue
