Mucoscopy in lingual varicosities

A 62-year-old woman presented with complaints of asymptomatic tortuous purplish to black swellings on the undersurface of the tongue for 8 months (Figure 1). She first noticed a few red to purple small outpouching of the veins on the undersurface of tongue. The lesion has increased progressively in due course of time. On mucosal examination, dilated tortuous vessels were seen along the lateral portions of undersurface of the tongue. Examination of the skin, hair and other mucosal surfaces were normal. There was no history of bleeding from the site and there was no evidence of any associated systemic disease. Dermoscopy [polarized, 10X] showed red lacuna with whitish veil at a few places, and based on location, age, clinical and dermoscopic appearance, it was diagnosed as lingual varicosities.