A 7-Month Old with a Tongue Lesion

A 7-month-old girl with a complex past medical history, including chromosome 1q21.1 duplication and gain of band 19p13.3, OSA, GERD, dysphagia, seizure disorder, and NGT dependence presented with a sublingual ulcer with white discharge. The mother noted that it had been present and worsening over at least the last week; she also reported that the patient had been tongue thrusting recently. The review of systems was only notable for some increased drooling. The patient had normal vital signs, was well-hydrated and well-appearing and the examination was notable for a sublingual, ulcerated lesion.

source https://www.jpeds.com/article/S0022-3476(21)01267-1/fulltext?rss=yes