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Quiz Case 1
Nathan Monhian, MD;
Andrew H. Murr, MD;
Aditi H. Mandpe, MD;
Frederick L. Baehner, MD
San Francisco, Calif
Arch Otolaryngol Head Neck Surg. 2001;127:217-219.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 29-YEAR-OLD Asian man presented with a 2-month history of expanding,
painless tongue and nasal lesions. His medical history was significant for
chronic active hepatitis B. He was taking no medications and had no allergies.
Physical examination revealed multiple raised, firm, nontender, white plaques
on the dorsum and lateral aspect of the tongue, extending to the base of tongue
(Figure 1). He also had crusting
papules and pustules in both nasal vestibules. There was no cervical lymph
adenopathy, and the results of the rest of the head and neck examination were
unremarkable. Microscopic examination of the biopsy specimens from the tongue
lesion showed a dense perivascular and interstitial plasma cell infiltrate,
with extensive neovascularization and endothelial cell hyperplasia (Figure 2 [E indicates endothelium; N, neovascularization;
and P, plasma cell infiltrate ]). A . . . [Full Text of this Article]
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