The Congenital Lingual Melanotic Macule

Dohil, Magdalene; Billman, Glenn F.; Pransky, Seth M.; Eichenfield, Lawrence F.

doi:10.1001/archderm.139.6.767

Cited by 26 publications

(29 citation statements)

References 20 publications

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“…The usual location in the oral cavity is the lower lip. In addition, in patients with dark skin, this lesion can be found on the tongue or the palate [11][12][13]. When these macules are multiple, we talk about lentiginosis.…”

Section: Discussionmentioning

confidence: 99%

Differential diagnosis of an oral mucosal pigmented lesion: a case of essential melanosis

O'hana

Barthélémy

Baudet-Pommel

et al. 2017

Med Buccale Chir Buccale

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Section: Discussionmentioning

confidence: 99%

Differential diagnosis of an oral mucosal pigmented lesion: a case of essential melanosis

O'hana

Barthélémy

Baudet-Pommel

et al. 2017

Med Buccale Chir Buccale

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“…Some authors suggest performing a tongue biopsy to exclude a malignancy , but in our opinion this procedure is difficult to perform in the first months of life and can be avoided because the clinical features of CMMT are distinctive and congenital melanoma has never been reported in the oral cavity. A simple follow‐up can be performed, and if significant changes occur, a tongue biopsy should be done to exclude a malignant transformation, as in the case of congenital melanocytic nevi.…”

Section: Discussionmentioning

confidence: 99%

“…Congenital melanotic macules of the tongue are a rare and probably underestimated benign entity with only few cases reported in the literature . Table summarizes the clinical and histopathologic findings of those cases.…”

Section: Discussionmentioning

confidence: 99%

Congenital Melanotic Macules of the Tongue. A Case Report and Brief Review of the Literature

Savoia

Ricci

Patrizi

et al. 2014

Pediatric Dermatology

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Congenital melanotic macules of the tongue (CMMT) are a rare and benign condition that is probably underestimated. We report the case of an African infant with multiple congenital hyperpigmented macules of the tongue. To avoid a difficult-to-perform procedure such as a tongue biopsy, focused clinical monitoring was performed every 3 months for 30 months to detect significant changes. A clinical diagnosis of CMMT was made in the absence of concomitant systemic diseases using the clinical findings, the location on the tongue, the negative family history for melanoma, and the absence of drugs and toxic exposure. Clinical follow-up may be sufficient to monitor CMMT rather than performing a tongue biopsy.

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“…The post-inflammatory pigment alteration usually fades with time and often includes a history of other dermatoses; this was not observed in our patient. 4 The first of our differential diagnoses raised was multiple melanotic macules involving the oral cavity and nail, but these features are considered as the diagnostic criteria for LHS. Therefore, it was suggested that LHS may only be confidently diagnosed when both oral and nail involvement are present, as in our patient.…”

Section: Discussionmentioning

confidence: 99%