79.Hyperpigmented Tongue

Clinical Features:

1. Female predominent 

2. hyperpigmented tongue associated with others disease

Diagnosis: Addison's disease

D/D: 

• Drug induced 
• PJS 

🗒️Rx: 

Tab. Precordil (20mg) ([post id="479" title="Prednisolone"])

1+0+0..........daily 

Treatment underlyning cause : primary adrenal gland insufficency or

Secondary  adrenal gland insufficency