A White Patch on the Tongue

Abstract

An 80-year-old white woman presented with an asymptomatic white patch affecting the tongue of 1 month's duration. She had a 15-year history of oral lichen planus (OLP) managed with betamethasone dipropionate, 0.05%, gel twice daily and clotrimazole troches, 10 mg, 3 times daily as needed for symptomatic OLP flares. Medical history revealed stage 1A mycosis fungoides/cutaneous T-cell lymphoma affecting the right calf and left thigh managed primarily with halobetasol, 0.05%, cream owing to intolerance of narrowband UV-B therapy and mechlorethamine, 0.016%, gel. Immunosuppression or history of infectious diseases, including human immunodeficiency virus (HIV), was not reported. A 1.5 × 1.0-cm nonremovable white, plaquelike lesion was observed on the left lateral tongue (Figure 1A). Biopsy specimens were obtained with a 3-mm punch instrument at 3 different sites, which demonstrated similar microscopic findings (Figure 1B and C).

Frequent and Persistent Salivary Gland Ectasia and Oral Disease After COVID-19

“…A patient presented a lesion of hemorrhagic origin, which was most likely traumatic, while angina-bullous hemorrhagic lesions of the oral mucosa and nonspecific stomatitis (Cruz Tapia et al 2020) did not occur. Tongue abnormalities were limited to hairy white tongue (28%), a condition characterized by marked hypertrophy of the filiform papillae due to excess keratin production and/or poor oral hygiene (Stoopler et al 2018; Tecco et al 2018). In previous studies, length of hospital stay, NIV administration, orotracheal intubation, and long-term multi-drug therapy were associated with lesions in the oral cavity, loss of incisors due to intubation, and decreased saliva secretion (Wu et al 2020).…”