A tongue ulcer
Aryť Weinberg, Ralf Siegert
The Pan African Medical Journal. ;30:31. doi:10.11604/pamj..30.31.15007

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Images in clinical medicine

A tongue ulcer

Aryé Weinberg, Ralf Siegert
Pan Afr Med J. 2018; 30:31. doi:10.11604/pamj.2018.30.31.15007. Published 16 May 2018



An 86-year-old man presented with a painful lesion on his left tongue measuring 0.6 x 0.6mm (A). The lesion has been growing over the last 2 weeks. The patient did not remember any trauma except that his teeth did sometimes scratch his tongue. Histology form the excised lesion revealed a pressure ulcer (B). Tongue ulcers can be caused by accidental bites, ill-fitting dentures, braces, citrus or acidic fruits and by a sharp tooth surface. In some other cases nutritional problems such as vitamin B12, iron or folic acid deficiency may cause tongue ulcers. Never the less malignancy needs to be excluded. Therefore, complete excision and diagnosis based on histology is recommended.


Corresponding author:
Aryť Weinberg, Prosper-Hospital, Department of Otorhinolaryngology, Head and Neck Surgery, Recklinghausen, Germany
aryeweinberg@gmail.com

©Aryť Weinberg et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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