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Dorsum of tongue showing erythematous patches with white borders (black arrows).

Geographic Tongue

A 45-year-old female patient presented to our clinic with a painless, erythematous lesion on her tongue. Medical history was negative, with absence of any allergies or habits. The patient recalled that she had a similar lesion on her tongue 6 months earlier, which resolved spontaneously. Clinical examination of the dorsal surface of the tongue revealed […]

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Maxillary and mandibular gingiva showing pseudomembrane slough (black arrows).

Trench Mouth

A 37-year-old male patient presented with severe pain and bleeding of gingiva with inability to eat spicy food for 6 days. The patient was systemically healthy, but a heavy smoker for 3 years (15 cigarettes per day) and also under heavy stress due to family problems. He also complained of “metallic” taste and “pasty” saliva. Intraoral examination […]

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The Malnourished Heart: An Unusual Case of Heart Failure

To the Editor: A 66-year-old woman with no past medical history was admitted for 3 months of worsening dyspnea, lower extremity edema, and orthopnea. She was not taking medications or supplements. She denied chest pain, recent infections, fevers, toxin exposures, or use of drugs or alcohol. She reported patchy hair loss on her scalp, bruises […]

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June 2012: Five prevention studies

Five new studies in the June 2012 issue of The American Journal of Medicine provide evidence to support simple steps you can take to prevent illness and improve overall health. Fish Consumption and Colorectal Cancer Risk Low-dose Aspirin and Cancer Mortality Tooth Scaling and Decreased Cardiovascular Disease Alternative Smoking Cessation Aids Medical Weight Loss Programs […]

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Black Hairy Tongue

Black Hairy Tongue: If You’re Tongue Looks Like This, Brush It More Often A 62-year-old man, known for alcohol and tobacco abuse, was diagnosed with laryngeal squamous cell carcinoma in 2008. He underwent curative radiotherapy (70 Gy), delivered to the laryngeal and oropharyngeal area as well as the neck. Follow-up 4 months after this treatment […]

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