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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.
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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.