CASE
A 53-year-old white male came to our ear, nose, and throat office with a 2- month history of a localized, partially flattened, erythematous lesion on the dorsum of his tongue (see Figure 1). Topical triamcinolone in dental paste (Kenalog in Orabase) prescribed by his primary care physician had not been beneficial. The patient denied any associated pain, dysphagia, odynophagia, other lesions in his mouth, or changes in his voice. His medical history was significant only for mild hypertension; family history was noncontributory. The patient denied any alcohol or tobacco abuse.
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