Lingual botryomycoma in the aftermath of Stevens-Johnson syndrome

A 55 years old woman, was hospitalized in November 2011 for a Stevens-Johnson syndrome with severe mucosal impairment appeared three weeks after taking allopurinol (Zyloric®) for an hyperuricemia associated with arthralgia. She was put under symptomatic treatment after discontinuation of the offending molecule with a good mucocutaneous improvement. After healing of lesions of the oral mucosa in December 2011, the examination of the oral cavity has found a nodular median lesion of the dorsal surface of the tongue, in favor of a granulation tissue at the histology with spontaneous regression of the rest of lesion. The current decline is two years and two months without local recurrence. Figure 1: a nodular median lesion of the dorsal surface of the tongue