LAUSR

A 7-year-old healthy boy presented to the emergency department with recurrent painless tongue masses since birth. His mother reported that multiple masses would develop and resolve spontaneously over the course of days to weeks. The lesions were usually white and the size of a pinhead, and located on the anterior portion of the tongue. Occasionally they would grow in size and progress to redfilled vesicles that did not burst or bleed. The timing of the lesions was not associated with fever or other rashes. The patient’s history was otherwise unremarkable, he had no recent travel outside the United States, and his vaccinations were up to date. On physical examination, the patient had multiple pale, nontender papules distributed over the anterior third of his tongue (Figure). No other masses were noted to the remainder of his oropharynx. He was afebrile and had no signs or symptoms of airway obstruction. Figure. Multiple discolored masses located on the anterior surface of the tongue.