PMC5861519_01
Dorsum of the tongue revealing violaceous to dark grey discoloration and blunted papillae in the centre with few tiny bright red erosions (black arrow) and interspersed white reticular lesions.
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The dorsum of the tongue revealed violaceous to dark grey discoloration extending onto the ventral surface, interspersed with white reticular lesions and focal tiny bright red erosions ( Figure 1).
Mild desquamative gingivitis with gingival hyperpigmentation.
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Although mild desquamative gingivitis with gingival hyperpigmentation were appreciable, the lips were spared with no visible freckling ( Figure 2).
Longitudinal melanonychia of multiple (
a) fingers of the left hand, and (
b) toes of the right foot. Pigmentation of the proximal and lateral nail folds is conspicuous.
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Examination of nails revealed longitudinal melanonychia of multiple fingers and toe nails ( Figure 3).