Eosinophilic Ulcer (TUGSE) on the Tongue: A Case Report

Author(s): Martínez-Lage Azorín JF, Martínez Del Toro B, Lucero Berdugo MJ, Molina Miñano F, Párraga Linares L and Bello Sánchez R

The objective of this article is analyse the possible causes and provide a review of the literature of a large ulcerated lesions. We present the case of a 13-year-old girl who came to the oral medicine clinic, referred by her orthodontist, with a large round lesion on the ventral side of the tongue (15 x 12 mm) that did not heal, after three weeks of evolution and after eliminating the existing traumatic factors (orthodoctic appliance in the lower jaw) and treatment with topical gel based on PVP (polyvinyl pyrrolidone), glycyrrhetinic acid and hyaluronic acid (Aloclair PLUS®). Topical treatment with corticosteroids (clobetasol propionate) was considered to try to reduce the lesion, prior to biopsy. However, the decision of his maxillofacial surgeon to perform an excisional biopsy and subsequent histological study, seemed to us to be an appropriate approach. Conclusions: In oral pathology, the appearance of a large, ulcerated lesions may suggest a malignant process that requires an early diagnosis given the uneasiness of the patient and his or her family. Finding lingual carcinoma in children is, however, extremely rare.