Dr. Sunil Kumar Kothiwala
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
My daughter is six years old. About 10 to 11 months back we saw a very very small dark black colored dot on the side of the tongue. But now there are 4 to 5 similar-sized dots around her tongue on both sides. The size has not grown. But it is just that a new location has emerged. Lately, she is continuously touching her tongue and the tip of the tongue appears red. She says she feels like there is a hair on her tongue and there is some sensation on her tongue. I do not know if she is able to correctly describe her feeling. I am more worried about the black spots. Rest she is absolutely fine. Please advise.
Hi,
Welcome to icliniq.com.
Thanks for providing good quality images (attachment removed to protect patient identity). These are hyperpigmented macules. Most of the time these are asymptomatic. The cause can be hereditary or acquired (nutritional or poor hygiene or local trauma-thermal or mechanical to tongue). Diagnosis based on current images: mucosal lentigines or melanotic macule.
My advice is to keep observation for new lesions. Take tablet Zincovit (Ascorbic acid and Biotin) one tablet daily. Maintain good hygiene. Do not panic about these lesions.
Patient's Query
Thank you doctor,
You were very helpful. Just a couple of more questions. Is this black lesion pretty normal in children and is it a benign lesion (like a mole)? And any recommendation for the sensation on tongue she complains?
Hi,
Welcome back to icliniq.com.
Yes, these are normal at any age and are benign one (mole). For sensation, avoid hot food or drink. And, give that Vitamin supplement for one month. Once check baby’s Hb (hemoglobin), vitamin B12 levels too. If they are normal, no need to worry.
Patient's Query
Thank you doctor,
Just to clarify and summarize before closing the post, did you meant it is benign and non-harmful lesion and we do not have to worry? We have to give her Zincovit and check her hemoglobin and vitamin B12 level?
Hi,
Welcome back to icliniq.com.
Yes. Do not worry about current lesions. But do a monthly check-up for new lesions. Test of Hb, and vit B12 for altered sensation. There is no harm in giving Zincovit for one month.
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