Tuberculoma of the Tongue Presenting as Macroglossia

Abstract

Lingual tuberculosis presenting as macroglossia in a 20-year-old woman has been reported. The histopathologic picture was similar to lupus vulgaris and the intradermal tuberculin test showed a strongly positive vesiculobullous reaction after forty-eight hours. No active internal focus of tubercular infection could be detected. The patient responded well to antituberculous chemotherapy. The relative lack of symptoms suggest that the enlargement had been a slow process resulting from the lodging of bacilli in the tongue.