Pigmented fungiform papillae of the tongue (PFPT).
A 12-year-old African girl presented with multiple, sharply bordered hyperpigmented patches predominantly on the dorsal, tip and lateral aspects of the tongue since 1 year (Figs 1 and 2). On clinical examination, we found an obese adolescent girl with a BMI: 26.5 kg/m(2) ( > P97) with acanthosis nigricans of the neck. No medications were taken. Vitamin B12, liver tests and kidney function were normal. There was a decreased serum iron, 25OH vitamin D and zinc. Hyperinsulinism and heterozygosity for HbS (32%) were detected. Menarche: 12 years. No other family members were known with this anomaly.
a Department of Paediatrics, Chronic Paediatric Diseases , Queen Paola Children's Hospital , Antwerp , Belgium.
Martine
M
Karine Francine Docx
b Department of Paediatric Cardiology , Queen Paola Children's Hospital , Antwerp , Belgium.
Philippe
P
Vandenberghe
c Department of Neonatology , ZNA Middelheim , Antwerp , Belgium.
Paul
P
Govaert
D000052:Acanthosis Nigricans / Q000150:complications; D000293:Adolescent; D005260:Female; D006801:Humans; D007501:Iron / Q000097:blood; D000090463:Iron Deficiencies; D008543:Melanins; D009333:Neck; D009765:Obesity; D010859:Pigmentation Disorders / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D012880:Skin Pigmentation; D014059:Tongue / Q000473:pathology*; D014060:Tongue Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D014807:Vitamin D / Q000097:blood; D015032:Zinc / Q000097:blood
D008543:Melanins; D014807:Vitamin D; D007501:Iron; D015032:Zinc
Melanophages; Papillae; Pigmented; Tongue