Abstract
A melanoderma 11-year-old male patient, sought care complaining of tongue lesions that did not heal. During anamnesis, the patient's father reported that he suffered from stomach problems and was using Digesil®, and since his childhood he presented papular mucocutaneous lesions. An extraoral physical examination, it was observed that the patient had flat hyperkeratotic papules in the palmoplantar regions. The intraoral examination revealed whitish and asymptomatic papules, restricted to the tongue dorsum that coalesced acquiring aspect of “paving stones.” The brain magnetic resonance did not show abnormalities. Based on clinical findings, the patient was diagnosed with Cowden’s syndrome. The intraoral lesions were treated with application of 60% trichloroacetic acid. The early diagnosis of Cowden’s syndrome requires careful monitoring of the patient to detect early malignant neoplasms commonly associated with this pathological entity.
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