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Net Quiz
2010:76:5;593-593
doi: 10.4103/0378-6323.69100
PMID: 20827021

Tense vesicles on the dorsum of tongue

Sudip Kumar Ghosh1 , Debabrata Bandyopadhyay1 , Saumendra Nath Bandyopadhyay2
1 Department of Dermatology, Venereology, and Leprosy, R.G. Kar Medical College, 1 Khudiram Bose Sarani, Kolkata, India
2 Department of E.N.T., R.G. Kar Medical College, 1 Khudiram Bose Sarani, Kolkata, India

Correspondence Address:
Sudip Kumar Ghosh
Department of Dermatology, Venereology, and Leprosy, R.G. Kar Medical College, 1 Khudiram Bose Sarani, Kolkata
India
How to cite this article:
Ghosh SK, Bandyopadhyay D, Bandyopadhyay SN. Tense vesicles on the dorsum of tongue. Indian J Dermatol Venereol Leprol 2010;76:593
Copyright: (C)2010 Indian Journal of Dermatology, Venereology, and Leprology

A 12-year-old girl presented with gradually enlarging painless swellings on the dorsal surface of her tongue. According to her parents, the lesions had been present almost since her birth. Besides slight difficulty in swallowing of foods, the lesions were asymptomatic in nature. There was no history of trauma. Her past medical history was unremarkable. Clinical examination revealed multifocal, pinkish, pebbly, tense vesicular lesions [Figure - 1] on the dorsum of the posterior third of the tongue. There was no dental abnormality. Examinations of the skin and other systems were normal. Routine laboratory investigations were noncontributory. An excisional biopsy of the lesion was performed.

Figure 1 : (a) Multifocal tense cystic lesions on the tongue (b) Excision biopsy specimen showing tense vesicles

Histopathological examination of the serial sections of the excision biopsy specimen showed dilated endothelium-lined channels filled with acellular amorphous eosinophilic materials. The overlying stratified squamous epithelium was hyperplastic. [Figure - 2] and [Figure - 3].

Figure 2 : Dilated channels filled with acellular amorphous eosinophilic materials with overlying hyperplastic stratified squamous epithelium (H and E, ×40)
Figure 3 : Dilated endothelium-lined channels filled with lymph fluid (H and E, ×100)

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