Abstract
A 75-year-old man presented with a 3-week history of a burning red tongue. The patient had no significant medical history and was on no medications. He did not smoke or drink alcohol and followed a normal diet. Examination found an erythematous tongue with deep grooves running along the dorsum of the tongue in a symmetrical pattern associated with a lack of papillae (Fig 1). There were no ulcers or white patches, and there was no angular cheilitis. Laboratory results showed no signs of anemia, normal iron studies, and vitamin B12 and were negative for HIV.
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