case_images: PMC11363933_01
case_images: Fissured tongue and geographic tongue on tongue dorsum (A); blackish-red hematoma lesion with irregular shape (B); negative diascopy test (C).
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case_images: PMC11363933_01_IMCRJ-17-757-g0001.jpg
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case_images: Intraoral examination showed multiple and branching fissures on the median dorsum of the tongue; multiple depapillation scattered on the anterior third of the tongue dorsum surface resembling islands with hyperkeratotic edges; and hematoma on the posterior one-third of the tongue dorsum, blackish red in color, irregular shape, negative diascopy test (Figure 1).
case_images: The case management flow consists of pharmacological therapy, non-pharmacological therapy, and referral.
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case_images: PMC11363933_01_IMCRJ-17-757-g0002.jpg
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case_images: Figure 2 illustrates the patient's management flow in the initial appointment.
case_images: Fissured and geographic tongue on the dorsum of the tongue (A); healed oral hematoma (B).
case_images: IMCRJ-17-757-g0003.jpg
case_images: PMC11363933_01_IMCRJ-17-757-g0003.jpg
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case_images: Intraoral examination still showed multiple and branching fissures on the median dorsum of the tongue, as well as a map-like appearance with filiform papillae atrophy (Figure 3).