History of the present illness

This is an 8-year-old Hispanic male who was seen at the University of Washington Oral Surgery Clinic. He presented with a chief complaint of multiple small nodules on the upper and lower lips, bilateral buccal mucosa and tongue. They were of unknown duration and were otherwise asymptomatic (Figures 1 & 2). There were no such lesions on the skin or on the fingers. There was no family history of such lesions. The nodules ranged from 2 to 5 mm in size and had intact surfaces. They were the same color as the surrounding mucosa.

Figure 1 Photograph taken at first clinical presentation to University of Washington Oral Surgery Clinic. Note the multiple, small, pink, sessile and exophytic nodules on the upper lip and bilateral commissures. They were also present on the lower lip.

Figure 2 Photograph taken at first clinical presentation to University of Washington Oral Surgery Clinic. Note the coalescing multiple, small, pink, sessile and exophytic nodules on the right buccal mucosa. They were present on the left buccal mucosa as well.