Case of the Month
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January 2008: Multiple dark-brown oral macules
Dolphine Oda, BDS, MSc
doda@u.washington.edu
Contributed by
Drs. Peter Van der Ven, Don Tran, and Zsolt Argenyi
Federal way Oral Medicine and University of Washington, School of Medicine
Case Summary and Diagnostic Information
An 87-year-old non-smoking Asian woman presented with a three-year history of hyperpigmented macules on the buccal mucosa (Figure 1), tongue, maxillary edentulous alveolar ridge, hard and soft palate and lips. The macules are irregular, 4-8 mm in size and are dark brown to black in color. They are otherwise not palpable or indurated. The patient reports that they were first noticed three years ago and that they have increased in number over time.
Diagnostic Information Available
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