PMC6587389_01
Ischemic changes to the anterior tongue.
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The patient stated that her tongue was blue in color before the onset of ulceration (Figure 1).
Lingual necrosis present upon initial presentation.
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Upon evaluation by the otolaryngology service, the patient was noted to have dry mucous membranes, and there was an extensive, but well-demarcated, area of necrosis involving the anterior one-third to half of the oral tongue (Figure 2).
Six months after initial presentation and long-term steroid treatment.
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She eventually recovered and the anterior edge of the tongue was well-healed 6 months after presentation (Figure 3).