case_images: PMC6587389_01
case_images: Ischemic changes to the anterior tongue.
case_images: 10.1177_1179547619857690-fig1.jpg
case_images: PMC6587389_01_10.1177_1179547619857690-fig1.jpg
case_images: fig1-1179547619857690
case_images: The patient stated that her tongue was blue in color before the onset of ulceration (Figure 1).
case_images: Lingual necrosis present upon initial presentation.
case_images: 10.1177_1179547619857690-fig2.jpg
case_images: PMC6587389_01_10.1177_1179547619857690-fig2.jpg
case_images: fig2-1179547619857690
case_images: 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).
case_images: Six months after initial presentation and long-term steroid treatment.
case_images: 10.1177_1179547619857690-fig3.jpg
case_images: PMC6587389_01_10.1177_1179547619857690-fig3.jpg
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case_images: She eventually recovered and the anterior edge of the tongue was well-healed 6 months after presentation (Figure 3).