Macroglossia.

Abstract

A 59-year-old man sought treatment for swollen tongue and bilateral submandibular areas of 6-months' duration. The enlarged tongue led to dysphagia without pain. The patient reported that the swelling fluctuated between mild and severe. The patient had a history of hypertension and diabetes for 10 years. Calcium channel blockers controlled the hypertension, and glycemic status was well controlled via lifestyle intervention, with fasting blood glucose maintained at below 6 mmol/L. In addition, the patient had undergone cardiac surgery for myocardial infarction 5 years earlier and took aspirin regularly.