PDF(Pubmed)
Abstract：
Pigmented fungiform papillae are a rare benign condition. It is commonly considered a diagnosis dilemma as it could be a clinical sign of a serious condition. Our patient was a middle-aged Saudi female presenting with hyperpigmentation along the lateral and anterior aspects of her tongue and was not associated with other cutaneous or mucocutaneous manifestation. Her medical history was significant for iron deficiency anemia, hepatic hemangioma, cervical and lumbar intervertebral disc herniation, and gastroesophageal reflux disease. Upon inspection, she had a longitudinal hyperpigmented tan-brown patch on the lateral aspects of her tongue and pinpoint discoloration evenly distributed on the papillae of the anterior tongue. The examination by mucoscopy revealed a cobblestone appearance along the mentioned distribution. The patient refused to have the biopsy done, but she was reassured about her condition and instructed to visit the clinic if she has any further issues.
摘要：
色素沉着的真菌状乳头是一种罕见的良性疾病。它通常被认为是诊断困境，因为它可能是严重疾病的临床征兆。我们的患者是一名中年沙特女性，她的舌头的外侧和前部表现为色素沉着过度，并且与其他皮肤或粘膜皮肤表现无关。她的病史是缺铁性贫血，肝血管瘤,颈腰椎间盘突出症，和胃食管反流病.经检查,她在舌头的侧面有一个纵向的色素沉着过度的棕褐色斑点，并且在前舌的乳头上均匀分布了精确的变色。通过粘镜检查发现沿上述分布呈鹅卵石状。病人拒绝做活检,但她对自己的病情感到放心，并指示她去诊所，如果她有任何进一步的问题。
