Een man met een blauw-zwarte tong

Diagnose in beeld
Sofia Kalantary, Erik Nout en Jan P.O. Scheerlinck

A man with a blue-black discolouration of the tongue

A 75-year-old man was referred to our department because of discolouration of his tongue and an elevated CRP. Clinical examination did not reveal any other abnormalities. Blood examination showed an excessive amount of leukocytes with low platelet and erythrocyte counts. These findings indicated an atypical presentation of acute myeloid leukaemia.

Conflict of interest and financial support: none declared.