Case #2:

Case profile:

Patient: Young adult, either sex

Case record:

Chief Complaint: Patient requests a routine examination.   Medical History: Patient takes tetracycline, 250 mg twice a day, for acne.   Dental History: Good oral hygiene.   Clinical Findings: Bilateral white plaques are present on the middle and anterior portion of the lateral surfaces of the tongue. The white plaques are firm, rough, nontender, and fixed to surface mucosa but not underlying structures. They will not rub off. An erythematous base is associated with the plaques. The patient was unaware of the lesions.

Images:

Tongue with White Plaques LG