RIGA FEDE DISEASE- AN UNUSUAL PRESENTATION

Abstract

A 7-year-old female child came to hospital with history of swelling over left side of tongue from 10 days. Swelling was identied accidentally by her mother. There were no complaints per se from the patient. On examination there was 2x1cm smooth swelling over dorsal surface of the left side of tongue in anterior one-third. It was a rm swelling with well-dened margins. Magnetic Resonant Imaging of neck with contrast was done which showed a T1 Hypointense with T2 hyperintense peripherally enhancing lesion of the left genioglossus which was suggestive of Fibroma/Dermoid cyst/mucous retention cyst. Cyst was excised in toto under General Anaesthesia and sent for Histopathological examination which showed features of Riga Fede disease (Eosinophilic ulcer of the tongue). Patient was followed up for 3 months and no signs of recurrence were seen.