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American Academy of Pediatrics
Visual Diagnosis

Black Lesion on the Tongue

Radhika Narang, Kavya Puranik and Mary Marron-Corwin
NeoReviews April 2014, 15 (4) e166-e168; DOI: https://doi.org/10.1542/neo.15-4-e166
Radhika Narang
*Department of Pediatrics, Harlem Hospital Center, New York, NY.
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Kavya Puranik
*Department of Pediatrics, Harlem Hospital Center, New York, NY.
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Mary Marron-Corwin
†Department of Neonatology and Pediatrics, Harlem Hospital Center, and Department of Pediatrics, Columbia University, New York, NY.
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The Case

A term female newborn presents with a solitary, well-circumscribed black lesion on the dorsum of the tongue that measures 0.5 × 0.5 cm (Figure 1).

Figure 1.

Prenatal history:

  • 20-year-old, gravida 3 para 0 (1 preterm birth, 1 loss before 20 weeks, and 1 living child), Hispanic mother

  • All prenatal laboratory results are within normal limits

  • Prenatal ultrasonography revealed no structural abnormalities

  • Denies any exposure to drugs, alcohol, or toxins

  • Uneventful prenatal course

Birth History:

  • Female infant born via extramural normal spontaneous vaginal delivery by emergency medical services (EMS) personnel at 39 weeks of gestation with Apgar scores of 7 and 9 at 1 and 5 minutes, respectively

  • Birth weight of 2925 g

  • Infant brought to the hospital via EMS with a presenting temperature of 97.1°F (36.2°C)

  • Admitted to the neonatal intensive care unit in view of extramural delivery and hypothermia

Case Progression

Vital Signs:

  • Temperature: 98.4°F (36.9°C)

  • Respiratory rate: 58 breaths/min

  • Heart rate: 131 beats/min

  • Blood pressure: 77/45 mm Hg

  • Oxygen saturation: 99% on room air

  • Birth weight: 2925 g (25th percentile)

  • Length: 50 cm (50th percentile)

  • Head circumference: 33.5 cm( 25th percentile)

Physical Examination:

  • Head: Normocephalic, anterior fontanelle soft and flat, left parietal cephalhematoma 3 …

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NeoReviews
Vol. 15, Issue 4
1 Apr 2014
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Black Lesion on the Tongue
Radhika Narang, Kavya Puranik, Mary Marron-Corwin
NeoReviews Apr 2014, 15 (4) e166-e168; DOI: 10.1542/neo.15-4-e166

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Black Lesion on the Tongue
Radhika Narang, Kavya Puranik, Mary Marron-Corwin
NeoReviews Apr 2014, 15 (4) e166-e168; DOI: 10.1542/neo.15-4-e166
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More in this TOC Section

  • Severe Intrauterine Growth Restriction, Thrombocytopenia, and Direct Hyperbilirubinemia in a 26-week Premature Infant
  • An Unexpected Brain Lesion in a 2-month-old Infant
  • A Large Tortuous Umbilical Cord with Superficial Abdominal Wall Varicose Veins in a Newborn
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