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Images in Clinical Practice
89 (
6
); 870-870
doi:
10.25259/IJDVL_83_2022
pmid:
36332087

Dermoscopic features of a flesh-coloured papule on the tongue

Department of Dermatology, and Venereology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
Department of Pathology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India

Corresponding author: Dr. Madhusmita Sethy, Department of Pathology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India. drmaheshmadhu@gmail.com

Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Behera B, Dash S, Mishra JJ, Viswan P, Sethy M. Dermoscopic features of a flesh-coloured papule on the tongue. Indian J Dermatol Venereol Leprol 2023;89:870.

A 30-year-old male had a single asymptomatic, slow-growing lesion on the tip of the tongue for six months. He denied any prior history of trauma or surgical procedure at the site. His medical history was unremarkable. Cutaneous examination showed a solitary well-demarcated flesh-coloured, dome-shaped, smooth, firm, non-tender papule of size 4 mm × 4 mm on the tip of the tongue [Figure 1]. The dermoscopic examination under polarised mode (Heine Delta 20T, ×10 magnification) revealed a central white homogeneous area and a peripheral corona of hairpin vessels [Figure 2]. The differential diagnoses of traumatic fibroma, granular cell tumour, Heck’s disease, and angiofibroma were considered. Pathological examination showed a moderately acanthotic epidermis, a collagenous stroma with numerous dispersed dilated blood vessels and scattered fibroblasts. In addition, inflammatory cell infiltration was absent. The diagnosis of traumatic fibroma was made, and the patient was counselled about the benign nature. The white homogeneous area corresponds to the acanthotic epidermis along with dermal collagen and the hairpin vessels to the dilated papillary dermal blood vessels.

Solitary flesh-coloured, dome-shaped, smooth papule on the tip of the tongue
Figure 1
Solitary flesh-coloured, dome-shaped, smooth papule on the tip of the tongue
The dermoscopic examination under polarized mode (Heine Delta 20T, ×10) shows a central white homogeneous area (blue arrow) and a peripheral corona of hairpin vessels (red arrow)
Figure 2
The dermoscopic examination under polarized mode (Heine Delta 20T, ×10) shows a central white homogeneous area (blue arrow) and a peripheral corona of hairpin vessels (red arrow)

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent.

Financial support and sponsorship

Nil.

Conflict of interest

There are no conflicts of interest.


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