Derm Dx: A patient with a 'funny tongue'

A 35-year-old woman presents complaining about the appearance of her tongue. She said she had never really been bothered by the appearance of her tongue until her 8-year-old daughter said, “Mommy, you have a funny tongue.”

The patient thinks her tongue has always looked this way. She does not complain of any specific symptoms associate with her tongue and has ...