Wednesday, May 21, 2008


A 30 year old woman presents with difficulty swallowing. On exam you see the tongue shown above. She also remarks that her tongue really hurts and she has dry mouth.

Challenge: What's the diagnosis?

Image shown under Fair Use.


Alex said...

magenta tongue -
riboflavin deficiency?

not sure about this 1

Craig said...


Dysphagia, esophageal web, and atrophic glossitis make up Plummer-Vinson or Patterson-Kelly syndrome due to iron deficiency anemia.

Sources: UpToDate; BDJ Oral Medicine by Scully and Felix 2005.