title: [Difficult diagnosis for a lingual ulceration. Wegener granulamotosis].
abstract: Making the correct diagnosis for a lingual ulceration can be difficult. We present the case of a 55-year-old man, alcoholic and smoker who presented with a single lingual ulceration. The initial diagnosis suggested a cell-squamed carcinoma but histological examination revealed a Wegener Granulomatosis. Wegener Granulomatosis in the oral cavity is found in 6-13% of cases but rarely primary sign of the disease. The authors review differential diagnosis that should be taken into consideration when presented with similar lesion.
authors.affiliation: Service de Chirurgie Maxillo-Faciale et Stomatologie (Pr JM. Péron), Hôpital Charles Nicolle, CHU Rouen, 76031 Rouen Cedex.
authors.forename: N
authors.initials: N
authors.lastname: Chen
authors.forename: A
authors.initials: A
authors.lastname: François
authors.forename: P
authors.initials: P
authors.lastname: Moguelet
authors.forename: J M
authors.initials: JM
authors.lastname: Péron
mesh_terms: D000437:Alcoholism / Q000150:complications; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis; D003937:Diagnosis, Differential; D014890:Granulomatosis with Polyangiitis / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000175:diagnosis; D019226:Oral Ulcer / Q000473:pathology*; D012907:Smoking / Q000009:adverse effects; D014060:Tongue Diseases / Q000473:pathology*