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[Specific tongue involvement revealing sarcoidosis]
A Ellouadghiri1, Y Afifi, F Mansouri
1Service de dermatologie, CHU Ibn Sina, place Beniznassen, Souissi, 10000 Rabat, Maroc. achraf.ellouadghiri@gmail.com
Annales De Dermatologie Et De Venereologie
|January 19, 2013
Summary
Sarcoidosis rarely affects the tongue, presenting as nodules. Oral corticosteroids can effectively treat this rare manifestation of multisystem granulomatous disease.
Area of Science:
- Granulomatous diseases
- Multisystemic disorders
- Rare medical conditions
Background:
- Sarcoidosis is a multisystem granulomatous disease with an unknown cause.
- Tongue involvement in sarcoidosis is exceptionally rare, making it a diagnostic challenge.
Observation:
- A 65-year-old woman presented with a six-month history of painless tongue nodules and xerostomia.
- Physical examination revealed erythematous nodules on the hands and feet, alongside tongue lesions.
Findings:
- Diagnosis of sarcoidosis confirmed with tongue, cutaneous, and salivary gland involvement.
- Oral steroid therapy led to partial regression of tongue lesions, indicating treatment efficacy.
Implications:
- Sarcoidosis of the tongue requires consideration for unexplained chronic oral nodules.
- Histological examination of a mucosal biopsy is crucial for confirming the diagnosis.
- Oral corticosteroids represent a promising therapeutic approach for tongue sarcoidosis.
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