IMAGE CHALLENGE OF THE WEEK!

A 65-year-old man is evaluated for discoloration of the tongue and halitosis x 6 weeks. He is otherwise healthy and takes no medications. He is a current smoker and drinks 2 beers every day. Vitals are within normal limits and systemic exam is largely unremarkable. The appearance of the tongue is shown:

Capture.PNG

Which of the following is the most appropriate management?

A. Amoxicillin-clavulanate
B. Biopsy of the discolored area
C. Brushing of the tongue
D. HIV testing

Continue reading IMAGE CHALLENGE OF THE WEEK!