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LETTER TO EDITOR
Year : 2021  |  Volume : 20  |  Issue : 1  |  Page : 25

Foliate papillitis masquerading as squamous cell carcinoma in clinical presentation


Department of Dentistry, Government Taluk Head Quarters Hospital, Malappuram, Kerala, India

Date of Submission06-Oct-2019
Date of Acceptance12-Feb-2021
Date of Web Publication13-Apr-2021

Correspondence Address:
Dr. Thorakkal Shamim
Shangrila, Parappanangadi, Malappuram - 676 303, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/MJ.MJ_17_19

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How to cite this article:
Shamim T, Shabeer KP. Foliate papillitis masquerading as squamous cell carcinoma in clinical presentation. Mustansiriya Med J 2021;20:25

How to cite this URL:
Shamim T, Shabeer KP. Foliate papillitis masquerading as squamous cell carcinoma in clinical presentation. Mustansiriya Med J [serial online] 2021 [cited 2021 Jun 15];20:25. Available from: https://www.mmjonweb.org/text.asp?2021/20/1/25/313657



Dear Editor,

The clinical presentation of foliate papillitis in a child and its association with lymphoid follicle was reported in the ancient medical literature.[1],[2] A 30-year-old man reported to the dental department with pronounced enlargement of foliate papilla measuring 2 cm × 2 cm on the right side of the tongue with soreness and discomfort of 2 weeks' duration [Figure 1]a. On clinical examination, the mass was firm to palpation and covered by normal epithelium. The patient stated that the lesion had increased progressively and the patient recalled previous history of trauma due to accidental biting during mastication (mechanical damage). The presence of early squamous cell carcinoma was suspected and a biopsy was performed. On histopathological examination, mild hyperkeratosis with dense fibrous tissue and inflammatory infiltrate mainly neutrophils was noted. The patient was instructed to apply Kenacort 0.1% paste (triamcinolone oral mucosal paste) and candid mouth paint to prevent fungal infection. After 2-week review, the patient presented with normal foliate papilla [Figure 1]b. This is the unique case where the authors clinically illustrate a case of foliate papillitis masquerading as squamous cell carcinoma in the clinical presentation to report in the literature.
Figure 1: (a) The enlarged foliate papilla on the right side of the tongue. (b) Normal foliate papilla on the right side of the tongue

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Di Felice R, Lombardi T. Foliate papillitis occurring in a child: A case report. Ann Dent 1993;52:17-8.  Back to cited text no. 1
    
2.
Simpson HE. Lymphoid hyperplasia in foliate papillitis. J Oral Surg Anesth Hosp Dent Serv 1964;22:209-14.  Back to cited text no. 2
    


    Figures

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