This is a 78-year- old female who has had a uniformly blue lesion in her hard palate for over two years. It is otherwise asymptomatic and is not present anywhere else. Current Medications: The patient reports long-term use of the following drugs: Hydroxychloroquine (20mg) 1-2x/day; Simvastatin (5mg) 1-3x/day; Prednisone (1.4mg) as needed; Clopidogrel bisulfate (75mg) 1x/day; Pantoprazole (40mg) as needed; Cetirizine hydrochloride (10mg) as needed; Acetaminophen (regular strength) as needed, and Ferrous Sulfate (125mg) 1x/day.
PMH : This patient’s past medical history is significant for coronary artery disease, hypertension, rheumatoid arthritis, asthma, peptic ulcer, and osteoporosis. Clinical and radiographic findings: This flat, generalized, uniformly blue pigmented lesion affected most of the hard palate but was otherwise asymptomatic. There is no other discoloration anywhere else in…
