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Arch Dis Child 97:1033 doi:10.1136/archdischild-2012-302269
  • Miscellanea
  • Images in paediatrics

Black tongue due to adrenocortical insufficiency

  1. Paride Palumbo
  1. Department of Child and Mother Health, Azienda Ospedaliero-Universitaria, Ancona, Italy
  1. Correspondence to Fernando Maria de Benedictis, Department of Child and Mother Health, Azienda Ospedaliero-Universitaria, Via Corridoni, 11, Ancona, Italy, 60123; debenedictis{at}ospedaliriuniti.marche.it
  1. Contributors FMdB had the idea for the article and wrote the initial draft. MJ admitted the patient, made the diagnosis and provided management. PP searched the literature and provided input in drafting the manuscript. All authors approved the final version of the manuscript.

  • Received 2 May 2012
  • Accepted 20 May 2012
  • Published Online First 11 August 2012

A 15-year-old boy presented with an eight-year history of painless black patches of the tongue that had persisted despite repeated consultations with …