Say Ahh … Part 2

The tongue has many stories to tell. Sometimes they’re benign, sometimes not. Can you tell which is which?

Text for cases 1, 3, and 4 courtesy of Richard P. Usatine, MD. Text for cases 1 and 3 adapted from Valdez E, Usatine R, Gonsalves W. Geographic tongue. In: Usatine R, Smith M, Mayeaux EJ, et al, eds. Color Atlas of Family Medicine. 2nd ed. New York, NY: McGraw-Hill; 2013:232-235. Text for case 4 adapted from Usatine R. Candidiasis. In: Usatine R, Smith M, Mayeaux EJ, et al, eds. Color Atlas of Family Medicine. 2nd ed. New York, NY: McGraw-Hill; 2013:777-781.

To learn more about the Color Atlas of Family Medicine. see www.amazon.com/Color-Family-Medicine-Richard-Usatine/dp/0071769641/. You can now get the second edition of the Color Atlas of Family Medicine. as an app by clicking on this link: usatinemedia.com.

Question 1 of 4

Large, well-delineated, shiny, smooth, erythematous spots on the surface of the tongue Courtesy of Michael Huber, DMD

A 71-year-old woman presented with complaints about her tongue’s “strange appearance.” She denied pain or discomfort and was unsure how long the lesions had been there. The patient also indicated that the distribution of the lesions seemed to change. Examination revealed large, well-delineated, shiny, smooth, erythematous spots on the surface of the tongue.

Match the diagnosis to the photo by letter

Fissured tongue

Thrush

Lingual thyroid

Geographic tongue

Clinician Reviews. 2019 October;29(10):10e-11e

This quiz is not accredited for CME.

More from Picture This

QUIZ

Say Ahh … Part 3
Lesions of a Sensitive Nature
Roots, Fruits, Shoots—and Drugs
Not-So-Mellow Yellow
Lesions Sing the Blues
Leaves of Three
A Paler Patch of Skin
The Kiss That Keeps on Giving
Reading Between the Lines
Of Macules and Melanocytes
What Do You See in This ECG?
When Dermatology Turns Deadly
The Pimple That Wasn’t
Marks of Devotion
So Much For That Pregnant “Glow”
A Tale of Tortured Toes
Classic Childhood Exanthems