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Indian Pediatr 2014;51: 243

Eruptive Lingual Papillitis


Avijit Mondal and Piyush Kumar*

Departments of Dermatology, College of Medicine & JNM Hospital, Kalyani; and
*Katihar Medical College & Hospital, Katihar.
Email: docpiyush@gmail.com

 


An 8-year-old boy presented with painful erythematous papules over tongue and excessive salivation for 3 days. On examination, tongue was studded with multiple erythematous tender papules and few vesicles (Fig. 1) Submental and submandibular nodes were enlarged and non-tender. The lesions resolved completely after 10 days. The condition was diagnosed as Eruptive lingual papillitis (ELP) based on typical presentation acute onset, painful lesions on tongue only (no other mucosal or skin lesions) and excessive salivation.

Fig. 1 Multiple erythematous papules and few vesicles over tongue. Excessive salivation can be appreciated.

ELP is an acute self-limiting condition, probably of viral origin, involving the fungiform papillae of tongue of children. Fever, difficulty in feeding, salivation and cervical adenopathy are usually associated. Spontaneous involution is seen in 2-15 days but may recur. Differential diagnoses are Strawberry tongue of scarlet fever (widespread erythema and minute papules on skin), hand-foot-mouth disease (vesicles on palms and soles), and food allergy. There is no specific treatment apart from. maintaining oral hygiene.

 

 

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