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A 64-Year-Old Man With Glossitis
MAJ Thomas K. Hirota, MC, USAR;
2nd Lt Russell John Young III, USAFR, MSC;
Lt Col Karen E. Warschaw, USAFR, MSC
Wilford Hall Medical Center, Lackland Air Force Base, Tex (Drs Hirota and Warschaw), and Baylor College of Medicine, Houston, Tex (Dr Young)
Arch Dermatol. 2001;137:85-90.
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REPORT OF A CASE
A 64-year-old man was hospitalized for posttraumatic pain and edema in his left lower extremity, complicated by an acetominophen overdose. Three days later, painful white papules and plaques developed on his tongue, soft palate, and buccal mucosa. His lips were spared. A viral culture, Tzanck smear, and potassium hydroxide preparation were obtained. The potassium hydroxide preparation was interpreted as positive for Candida, and the Tzanck smear was interpreted as negative. The patient was treated with oral fluconazole and nystatin suspension swish-and-spit therapy. The white papules resolved with this regimen; however, the patient had increased glossodynia. The dermatology service was then consulted.
Cutaneous examination revealed multiple erythematous-based, shallow, punched-out ulcers on the patient's soft palate and left buccal mucosa. On the dorsal surface of the tongue, there were numerous . . . [Full Text of this Article]
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