Introduction

Fungiform papillae are specialized types of papillae found on the surface of the tongue. Pigmented fungiform papillae of the tongue is a mild tongue disorder characterized by a limited discoloration located on fungiform papillae.

Case report

We present a case of a generally healthy 21-year-old woman patient who presented concerned by a pigmented lesion on the tongue. Dermoscopy revealed a distinctive “rose petal pattern” characterized by brown projections with pigmented borders and dichotomized vessels originating at the base. Based on the clinical and dermoscopic features, pigmented fungiform papillae of the tongue were diagnosed, benign lesions requiring no treatment.

Conclusions

This case illustrates the role of mucous membrane dermoscopy (mucoscopy) in differential diagnosis of pigmented oral lesions.