QJM Advance Access originally published online on September 11, 2008
QJM 2008 101(11):909-911; doi:10.1093/qjmed/hcn117
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© The Author 2008. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Tongue involvement revealing sarcoidosis
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Sir,
Sarcoidosis is an immune-mediated condition affecting multiple organs, especially the lungs, lymph nodes, skin and eyes.1–4 Oral involvement, including tongue manifestations, is considered to be a rare complication of sarcoidosis; in fact, to the best of our knowledge, there have been only five cases of patients exhibiting sardoidosis-associated tongue impairment, reported in the English literature.5–8 We recently observed the interesting case of a patient who developed tongue involvement as the first manifestation of sarcoidosis.
A 25-year-old woman, with unremarkable previous medical history, presented with a painless ulceration of 5-month duration, involving her tongue. The patient also complained of both fatigue and a 3 kg
Department of Internal Medicine, Rouen University
Hospital, 76031 Rouen Cedex, France
Department of Stomatology, Le Havre Hospital,
Le Havre, France
Department of Histopathology, Le Havre Hospital,
Le Havre, France
email: isabelle.marie@chu-rouen.fr