An adolescent girl presented with scattered hyperpigmented spots on her tongue (Figure). They had appeared a few months prior and were asymptomatic. Physical examination results revealed multiple hyperpigmented papillae and patches on the dorsal and lateral aspects of her tongue. She also had a faint hyperpigmented macule on her lower mucosal lip. No abnormalities of the buccal mucosa were noted. The rest of her physical examination was unremarkable. She was otherwise healthy. No other family members were known to be affected. A clinical diagnosis of pigmented fungiform papillae of the tongue, also referred to as hyperpigmented fungiform papillae of the tongue, was made. The patient and her family were counseled on the benign nature of the condition, and no treatment was pursued.

一名青春期女孩的舌头上散布着色素沉着的斑点（图）。它们在几个月前出现并且没有症状。体格检查结果显示，舌头的背面和侧面有多个色素沉着的乳头和斑块。她的下黏膜嘴唇也有淡淡的色素沉着斑。未见颊粘膜异常。她的其余身体检查无异常。否则她很健康。已知没有其他家庭成员受到影响。进行了舌的着色真菌样乳突的临床诊断，也称为舌的色素沉着的真菌样乳突。对患者及其家人进行了良性疾病咨询，未进行任何治疗。