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Image Number 1480 (Pigmented fungiform papillae of the tongue)


Diagnosis: Pigmented fungiform papillae of the tongue

Site: Tongue

Sex: M

Age: 20


Description: Dotty pigmentation of the tongue.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History: A young adult man complained of an asymptomatic dotty brownish pigmentation of the dorsum of the tongue of many years duration. Dorsally, the tongue has three types of papillae: filliform, fungiform, and circumvallate papillae. Fungiform papillae may show physiologic, well demarcated, symmetric pigmentation of the tips of the papillae. This is usually noted in persons with a darker natural complexion and in women who are pregnant or on hormone replacement therapy.

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