• Asploro Journal of Biomedical and Clinical Case Reports
  • ISSN: 2582-0370
  • Article Type: Clinical Image
  • DOI: 10.36502/2020/ASJBCCR.6206
  • Asp Biomed Clin Case Rep. 2020 Jul 09;3(2):164-65

Pigmented Fungiform Papillae of the Tongue: Clinic and Dermoscopy

Dahhouki S1*, Issoual K1, Bennani M1, Douhi Z1, Elloudi S1, Baybay H1, Mernissi FZ1
1Department of Dermatology, Hassan II Hospital University, Fez, Morocco

Corresponding Author: Sara Dahhouki
Address: Department of Dermatology, Hassan II Hospital University, Fez, Morocco.
Received date: 03 June 2020; Accepted date: 30 June 2020; Published date: 09 July 2020

Citation: Dahhouki S, Issoual K, Bennani M, Douhi Z, Elloudi S, Baybay H, Mernissi FZ. Pigmented Fungiform Papillae of the Tongue: Clinic and Dermoscopy. Asp Biomed Clin Case Rep. 2020 Jul 09;3(2):164-65.

Copyright © 2020 Dahhouki S, Issoual K, Bennani M, Douhi Z, Elloudi S, Baybay H, Mernissi FZ. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.

Keywords: Fungiform Papillae, Tongue, Dermoscopy

Fungiform papillae, primarily located on the tip and lateral border, or dorsum surface of the tongue and intertwined with the filiform papillae, are mushroom-shaped epithelial elevations composed of taste buds at the upper surface overlying a core of connective tissue. Pigmented fungiform papillae of the tongue is a benign condition more common in dark-skinned adults and children, is characterized by localized hyperpigmentation which is confined to these structures. We report a case of 26 year-old-woman with pigmented fungiform papillae.

A 26 year-old-woman presented with an asymptomatic pigmented lesion on the tongue of 10 years’ duration. Examination of the oral mucosa revealed homogeneous brownish macula with regular, non-infiltrated borders, in the left lateral region of the dorsum of the tongue (Fig-A). Dermoscopy was performed with the presence of projections with pigmented borders, interspersed by dichotomized vessels, with aspect resembling to “rose petals” or “petalloid aspect” (Fig-B). A diagnosis of pigmented fungiform papillae was retained and the patient was reassured of the benign nature of this disorder [1-3].

Pigmented Fungiform Papillae of the Tongue: Clinic and Dermoscopy

Fig-A

Homogeneous brownish macula with regular, non- infiltrated borders, in the left lateral region of the dorsum of the tongue.

Fig-B

Projections with pigmented borders, interspersed by dichotomized vessels, with aspect resembling to ‘‘rose petals’’ or ‘’petalloïd aspect’’.

References

[1] Mukamal LV, Ormiga P, Ramos-E-Silva M. Dermoscopy of the pigmented fungiform papillae of the tongue. J Dermatol. 2012 Apr;39(4):397-99. [PMID21950799]

[2] Sugiyama Y, Hayashi K, Takayama T. Pigmented fungiform papillae of the tongue in a Japanese child. Clin Case Rep. 2020 Apr 12;8(6):1104-106. [PMID32577275]

[3] Smogorzewski JM, Armstrong P, Young L. Pigmented fungiform papillae of the tongue in an Indian male. Cutis. 2019 Mar;103(3):E16-E17. [PMID31039241]