Evidence map›Paper›PMID 42496822›Full record

ArticleHead and neck pathology2026

Lenalidomide-Associated Oral Pigmentation: A Case Report.

André Luis Santana de Freitas, Fabiana Gomes Cardoso Pereira de Sousa, Cleverson Teixeira Soares, Rosane Rezende de Souza Giuliani, Andresa Borges Soares

Abstract readCase Reports
In one paragraph

Article in Head and neck pathology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

André Luis Santana de FreitasDepartment of Stomatology, School of Dentistry, Universidade Santa Cecília -UNISANTA, Santos, São Paulo, Brazil.
Fabiana Gomes Cardoso Pereira de SousaDepartment of Surgery, Stomatology, Pathology, and Radiology, Bauru School of Dentistry, Universidade de São Paulo, Al. Dr. Otávio Pinheiro Brisolla, 9-75, Caixa Postal 73, Bauru, São Paulo, SP, 17043-101, Brazil.
Cleverson Teixeira SoaresLauro de Souza Lima Institute (ILSL), Bauru, São Paulo, Brazil.
Rosane Rezende de Souza GiulianiUniversidade de Ribeirão Preto - UNAERP, Guarujá, SP, Brazil.
Andresa Borges SoaresDepartment of Surgery, Stomatology, Pathology, and Radiology, Bauru School of Dentistry, Universidade de São Paulo, Al. Dr. Otávio Pinheiro Brisolla, 9-75, Caixa Postal 73, Bauru, São Paulo, SP, 17043-101, Brazil. andresabs@usp.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLenalidomide is an immunomodulatory agent widely used in the treatment of multiple myeloma and is generally associated with a favorable safety profile. Although pigmentary alterations such as cutaneous hyperpigmentation and hair repigmentation have been reported, oral mucosal involvement remains poorly documented. CASE PRESENTATION: An 80-year-old Black female with multiple myeloma undergoing lenalidomide therapy presented with asymptomatic brown macules on the tongue, hard palate, bilateral buccal mucosa and gingiva. Histopathological examination of an incisional biopsy on the tongue revealed many fine granular, brownish pigmentation of approximately the same size throughout all epithelial layers, as well as collagen fibers, vascular walls, neural tissue, and skeletal striated muscle. These findings represent an unusual pattern of pigment distribution not previously described in patients under lenalidomide therapy.

conclusionThis case emphasizes the need for thorough oral examination in patients undergoing lenalidomide therapy, as early recognition of drug-induced pigmentation is essential for proper diagnosis and management.

Indexed as

Antineoplastic AgentsHyperpigmentationImmunologic FactorsPigmentation DisordersThalidomideAged, 80 and overFemaleHumansLenalidomideMultiple MyelomaAntineoplastic AgentsImmunologic FactorsLenalidomideThalidomideDrug-induced pigmentationHistopathologyLenalidomideMultiple myelomaOral pigmentation

Identifiers

PMID42496822
PMCPMC13400540

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.