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Mujer de 64 años que vino a la consulta por presentar una lesiones blanquecinas en la lengua, tanto en dorso (Figura 1) como en superficie ventral (Figura 2). No se desprendían al raspado. Las tenía desde hacía dos años y le producían molestias inespecíficas, no dolor. No tomaba ningún medicamento. También tenía lesiones eritemato-edematosas, en forma de placas en las piernas (Figura 3).
| A 64 year old woman presented with witish lesion on the dorsum (Figura 1)and ventral surfaces (Figura 2) of the tongue of two years duration. The lesions did not rub off. The patient complained that the lesions were bothersome but not painful. She also had erythematous-edematous plaques on her legs(Figura 3) . The patient was not taking any medications. Biopsy of the ventral surface of the tongue (Figura 4)(Figura 5) shows hyperparakeratinization, acanthosisand several intraepithelial microabscesses. There was a connective tissue inflammatory infiltrate which did not have a lichenoid appearance. |
| 1.- Which tests or laboratory studies would you order?
2.- Which is your differential diagnosis? Send your answers to bagan@uv.es |
1.- Psoriasis 2.- Candidiasis mucocutánea 3.- Liquen escleroso y atrófico 4.- Liquen plano 5.- Genodermatosis 6.- Leucoplasia 7.- Candidiasis hiperplásica 8.- Pioestomatitis vegetante 9.- Sífilis | 1.- Psoriasis 2.- Chronic mucocutaneus Candidiasis 3.- Atrophic and esclerotic lichen planus. 4.- Lichen planus 5.- Genodermatosis 6.- Leukoplakia. 7.- Hyperplastic candidiasis 8.- Pyostomatitis vegetans 9.- Syphilis |
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