Sublingual varices may alarm the patient but usually do not require treatment.


Clinical features:

(1) The patient develops purplish or bluish-colored papules, nodules and tortuous veins along the ventral surface (underside) of the tongue.

(2) The lesions are compressible.

(3) They tend to affect patients over the age of 40.

(4) The patient is asymptomatic from the lesions.


Differential diagnosis:

(1) hemangioma or other vascular tumor

(2) hereditary hemorrhagic telangiectasia

(3) blue rubber bleb nevus syndrome

(4) superior vena cava syndrome


To read more or access our algorithms and calculators, please log in or register.