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  • Ryo Nishioka, M.D.,
  • and Mitsuhiro Kawano, M.D., Ph.D.

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A 78-year-old man with end-stage renal disease and microscopic polyangiitis, for which he was taking glucocorticoids, presented with fever, taste abnormalities, and a painful ulceration of the tongue. Biopsy of the lesion confirmed a diagnosis of cytomegalovirus infection.


Ryo Nishioka, M.D.
Mitsuhiro Kawano, M.D., Ph.D.
Kanazawa University Hospital, Kanazawa, Japan

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