PMC5529628_01
Clinical images of the 45-year-old male patient. (a) Shallow, round to oval depapillary erosions on a background of a whitish, nonwipeable hyperkeratotic thickening of the posterior aspect of the tongue, in a pattern of plaques en prairie fauchee. A fibrin-covered commissural papule (split papule) in the left oral commissure is indicated by the arrow. All lesions were very painful. (b) Complete remission after penicillin treatment.
CRIM2017-1980798.001.jpg
PMC5529628_01_CRIM2017-1980798.001.jpg
fig1
Examination of the oral cavity (Figure 1(a)) revealed shallow, painful, round to oval depapillary erosions on a background of a whitish, nonwipeable hyperkeratotic thickening of the posterior aspect of the tongue. A complete clinical remission and resolution of oral lesions (Figure 1(b)) was rapidly recorded after the first of a total of three consecutive weekly administrations of 2.4 million units of intramuscular benzathine penicillin G.