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Images in paediatrics
Oral pigmentation in children: a diagnostic challenge
  1. Iria Neri,
  2. Valeria Evangelista,
  3. Giulia Veronesi,
  4. Alba Guglielmo,
  5. Marco Adriano Chessa
  1. Dermatology, Department of Specialised, Experimental and Diagnostic Medicine, University of Bologna, Bologna, Italy
  1. Correspondence to Dr Valeria Evangelista, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy; valeria.evangelista4{at}

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An 8-year-old African girl presented with a 3-year history of asymptomatic lingual pigmentation. Physical examination showed multiple dark pinhead papules confined to anterolateral dorsal surface on the tongue (figures 1 and 2A); no other skin and/or mucosal abnormalities were detected and she was otherwise healthy. There was no relevant family history.

Figure 1

Multiple dark pinhead papules confined to anterolateral dorsal …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.