title: [A painful swelling of the tongue].
abstract: A 45-year-old patient had a progressive ulcer of the tongue. Routine examination, including a biopsy was not conclusive and could not entirely rule out a malignancy. The final diagnosis was made after generalised lesions developed, after which specific serological tests confirmed the diagnosis 'syphilis'. The patient was treated with benzathine benzylpenicillin and his complaints disappeared. In view of the increasing incidence of this disease remains an important consideration in case of ulcerative or other lesions in the oral cavity.
authors.affiliation: Uit de afdeling Keel- Neusen Oorheelkunde en Hoofd/Halschirurgie van het VU Medisch Centrum, Amsterdam. kno@vumc.nl
authors.forename: X H
authors.initials: XH
authors.lastname: de Vries
authors.forename: M D
authors.initials: MD
authors.lastname: Njoo
authors.forename: R
authors.initials: R
authors.lastname: de Bree
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D010401:Penicillin G Benzathine / Q000627:therapeutic use; D013587:Syphilis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D013588:Syphilis Serodiagnosis; D014059:Tongue / Q000382:microbiology / Q000473:pathology*; D014456:Ulcer / Q000382:microbiology / Q000473:pathology
chemical_list: D000900:Anti-Bacterial Agents; D010401:Penicillin G Benzathine